DSTA Application for Committee Appointment

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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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이메일 *

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

기타:

필수

First & Last Name *

Personal email address (not desertsands.us) *

Please check one (1) *

New applicant

Renewal applicant

Best contact phone number *

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): *

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: *

List any experience/special skills that you would bring to the committee(s) for which you are applying: *

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): *

Do you wish to be considered for the position of Committee Chairperson? *

Yes

Signature (type your full name as recorded by CTA): *

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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