RCS PTA: Personal Stories of Public Service: High School Interest Form

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Thanks for your interest! Please complete the following form if you’re interested in participating in the Rochester Community School’s PTA Legislative Committee event, “Personal Stories of Public Service: Careers, Volunteers and Pathways to Advocacy” on April 19 from 6:30 - 8:15pm with a practice call at a time to be determined.

You will hear back from a member of the PTA Legislative Committee if you’ve been selected to participate. In the meantime, please hold the dates/times for both the practice & event. Reach out to Legislative Committee Chair, Susanna Brennan at susanna370@gmail.com with any questions.

Email *

What is your name? *

Which school do you attend? *

Adams High School

Rochester High School

Stoney Creek High School

What grade are you in? *

9th

10th

11th

12th

Are you available for both the practice run (time to be determined) & duration of the event (April 19 from 6:30 - 8:15)? *

Yes

Other:

What is your current and past involvement in clubs, classes or activities related to public service? (i.e. student gov’t, social justice club, model UN, Social Studies Honor Society, Key Club) *

What role are you interested in for the event? (you may select more than one) *

Moderator (actively involved in asking questions)

Write questions that will be used during the event

Required

Please provide an email address of a teacher we can reach out to for a recommendation (note - please ask this teacher before listing them) *

Send me a copy of my responses.

Submit

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