School Health Advisory Council Membership Form

The Pawnee ISD School Health Advisory Council is seeking new members!

The School Health Advisory Council (SHAC) assists the district in ensuring that local community values are reflected in the health education program. The council will address the continued implementation of a coordinate health program including health education, physical education, health services, nutrition services, counseling, healthy school environment, staff health promotion and family/community involvement.

The SHAC meets at least 4 times during the school year.

If you are interested in serving on the SHAC, please complete the application below!

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Email *
Member Name *
Student(s)' Name(s)
Home Address *
Preferred Email Address *
Phone Number(s) *
Skills and Interests *
Are you interested in becoming *
Please indicate your first choice for time/day of meeting:
Monday
Tuesday
Wednesday
Thursday
10:00am
4:00pm
6:00pm
Clear selection
Please indicate your second choice for time/day of meeting:
Monday
Tuesday
Wednesday
Thursday
10:00am
4:00pm
6:00pm
Clear selection
Please indicate your third choice for time/day of meeting:
Monday
Tuesday
Wednesday
Thursday
10:00am
4:00pm
6:00pm
Clear selection
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