Policy Council Interest Form 23-24

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Please complete this form to let us know if you are interested in serving on Policy Council

Name *

Email Address

Phone Number *

Name of Pre-K Student

Attending School *

Marion Elementary School

Hillsboro Elementary School

Roosevelt Elementary School

Lincoln Elementary School

Eisenhower Elementary School

Washington Elementary School

I would like to be considered as a voting member on Policy Council? *

Yes

If you marked yes above, please write a brief description about yourself and statement of why you wish to serve on the Policy Council. This information will be printed on a Ballot Form to be distributed to all current Head Start Families at your school.

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