CPHS SIT Parent Representative Interest Form

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Please fill out the following form to indicate your interest in serving as a parent representative on the School Improvement Team for Cumberland Polytechnic High School. We truly appreciate your interest!

Parent/Guardian Name (First and Last) *

Parent/Guardian Preferred Title *

Mr.

Mrs.

Ms.

Dr.

Other:

Parent Contact (Please include your e-mail address and/or phone number.) *

What is the best time to contact you?

Please check "yes" or "no" for each statement: *

Yes

I will be available the last Monday of each month from 2:45 - 4 pm.

I am able to attend meetings virtually via an Internet-capable device (computer, laptop, tablet, cell phone, etc.).

I would like to serve for the fall semester of 2020.

I would like to serve for the spring semester of 2021.

Student Name (First and Last) *

Student Grade Level *

Do you have any questions about volunteering to join SIT?

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