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School Organizational Team (SOT) Parent/Guardian Nomination form: 2021-2022 School Year
Burkholder Middle School
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* Indicates required question
Email
*
Your email
Parent Member Nomination
Your Last Name
*
Your answer
Your First Name
*
Your answer
Your Student's Name
*
First and Last name of a current Burkholder Student. Only one name needed.
Your answer
Your Student's Grade
*
Choose
6th Grade
7th Grade
8th Grade
Contact Information
Please fill in at least one form of contact: email address or phone number.
Phone Number
Your answer
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