Cameron Parish Special Education Advisory Committee Application

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Please compelt ethe application below to be considered to be part of the CPSB SEAC for the 2023-2024 school year. Applications must be submitted by 3 pm on July 20, 2023. The committee will be comprised of parents, school district representative(s), and community stakeholders.

First Name *

Last Name *

Street Address *

City *

State *

Zip Code *

Phone Number (including area code) *

Email address *

Which position on the committee are you applying for? *

Parent Position

District Staff Position

Community Stakeholder

Does your child receive Special Education Services throught the Cameron Parish School System? *

Yes

If Yes, What school does your child attend? *

Grand Lake Elementary

Grand Lake High

Hackberry

Johnson Bayou

South Cameron

Not Applicable

What grade will your child(ren) with special needs attend during the 2023-2024 school year? *

PreK - PreK4

Kindergarten - Second Grade

Third - Fifth Grade

Sixth - Eighth Grade

High School

Required

List the activities your are involved in through the school system: *

Are you able to attend 3-5 meetings during the school year? *

Yes

Are you able to attend meetings between the hours of 8am and 3 pm? *

Yes

Why are you interested in being a part of the SEAC? *

What strengths do you feel you could bring to the SEAC? *

I certify that my answers are true and complete to the best of my knowledge.

I understand that completing this application does not guarantee appointment to the committee.

Furthermore, I understand that participation is on a volunteer basis as there is no compensation
provided to Special Education Advisory Council members. Additionally, I understand that the purpose of the Special Education Advisory Council is to be a resource for the local superintendent and school board. The Cameron Parish Special Education Advisory Council has no authority to direct school district personnel, operations, policies, or budgeting. There is no
requirement that the advice or feedback of the Cameron Parish Special Education Advisory Council be adopted or implemented by the Cameron Parish School Board or local superintendent.

Agree

Disagree

Submit

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