COMMUNITY ADVISORY COMMITTEE APPLICATION FORM

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The objectives of this committee center on delivering parent trainings, participating in community outreach, advisory duties to the Board of Education and district administration, public advocacy for special education, and membership development drives.

Section B. Nomination and Selection of Members

a. As vacancies occur, the CAC and the District will seek out qualified nominees. Members whose term of office is expiring may be nominated again.
b. Anyone interested in membership shall attend one meeting before applying for membership.
c. Persons selected by the Community Advisory Committee will be presented to the Folsom Cordova Unified School District SELPA Board of Education for appointment as members.

Name *

Phone *

Email *

Please check all that apply to you. I am … *

Parent of a child with a disability

Parent of other students(s)

Student and/or adult with disabilities

General education teacher

Special education teacher

Other school personnel

Staff or local agency serving student(s) with disabilities

Other:

Required

What do you think are the 3 top issues facing special education children and their parents in this district? *

What are your top 3 reasons for applying to serve on the committee? *

To develop my leadership skills

To help other parents in my community

To become expert on the IEP process

To learn about Special Education vision or process

To be informed on what’s happening in the District with Special Education

To learn about the legislative process and the state of special education in California

Other:

Required

If appointed to this committee by the Board of Education, which projects would be most interesting to you? Please choose top 3 options according to your preference. Training can be made available if you are not currently knowledgeable but would like to learn. *

Hosting lecture series

Coordinating and/or hosting the student Art Show

Participating in Annual Legislative Day and/or presenting Legislative updates

Becoming an IEP expert in support of other parents

Community Outreach and School Site Visits

Monthly Communications and Event Marketing

Membership Drives

Leadership skill development, including advisory duties to the Board of Education and district administration

Required

List a reference/references that have knowledge of your character, experience, and abilities. Do not include names of relatives. Please provide name, phone and email for each reference. *

Certificate of Applicant. All answers and statements in this document are true and complete to the best of my knowledge and belief. Please sign this document by typing in your name below. *

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