BCISD SHAC Membership Interest

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Please complete this form if you are interested in serving on the Burnet CISD School Health Advisory Council (SHAC) in the next school year cycle. Membership numbers are limited in total, and by school community role. To view the BCISD SHAC Bylaws, visit: https://www.burnetcisd.net/apps/pages/index.jsp?uREC_ID=460109&type=d&pREC_ID=1256366

First and Last Name *

Email address *

Daytime phone number *

What is your role within the BCISD School Community? *

Parent/guardian of a BCISD student who is not employed by BCISD

BCISD Employee who is also a parent of a BCISD student

BCISD Staff member who is not a parent of a BCISD student

Healthcare professional or mental health provider

Law enforcement or CPS professional

Clergy

Representative of nonprofit health or violence prevention programs

Community member

Other:

Please describe your level of awareness of the BCISD community. *

Please describe your interest in the students of BCISD. *

The SHAC currently meets a minimum of 4 times per year, generally on selected Mondays at 4:00 p.m. In addition, subcommittees may be formed and hold additional meetings on selected topics. Please describe your ability to commit your time to the work of the SHAC. *

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