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DSTA Application for Committee Appointment
I have read and understand the descriptions of all DSTA committees and hereby apply for consideration as a member of the committee(s) indicated below (check all that apply):
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Email
*
Your email
Committees
*
Awards & Recognition
Counselor - Elementary School
Counselor - Middle School
Counselor - High School
Elections
Grievance
Human Rights
Insurance
Bargaining (Negotiations)
Organizing
Political Action (PAC)
Special Education
Membership Engagement
Scholarship
Sunshine
Other:
Required
First & Last Name
*
Your answer
Personal email address (not
desertsands.us
)
*
Your answer
Please check one (1)
*
New applicant
Renewal applicant
Best contact phone number
*
Your answer
Current grade level
*
Pre-K
TK-5
6-8
9-12
District Office
List any subject(s) you've taught and the number of years you've taught them (approximate is acceptable):
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Your answer
Have you ever been involved in union (DSTA or other) activities in the past? Please explain in detail or indicate that this is your first experience:
*
Your answer
List any experience/special skills that you would bring to the committee(s) for which you are applying:
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Your answer
Attendance and participation in relevant training in order to enhance your role as a committee member is essential. Please initial here that you understand and agree to attend (emergencies notwithstanding):
*
Your answer
Do you wish to be considered for the position of Committee Chairperson?
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Yes
No
Signature (type your full name as recorded by CTA):
*
Your answer
Thank you! You will be notified individually (email or phone) of your appointment.DSTA -- 79440 Corporate Centre Drive, #116, La Quinta CA 92253 -- 760-564-3396
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