Application for Albany Unified School District Advisory Body/Committee Membership

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If you are interested in applying for a vacancy on one of the AUSD advisory bodies, please fill out this form. Submissions are sent directly to the Superintendent's Office for District Administration to review.

Appointments will be made based on vacancies available (see notices posted if applicable).

Email *

Your full name (Last, First) *

Please select the Advisory Body/Committee to which you are applying (only 1) *

AUSD Student Achievement Committee (SAC).

Budget Advisory Committee (BAC)

Board Policy Committee (BPC)

Environmental Action Plan Committee (EAPC) - STAFF ONLY

Required

Home Address

(An address outside of Albany does not automatically disqualify you)

City, State, Zip *

Telephone *

Preferred Email address *

Are you currently an Albany High School student? *

Yes

Required

Occupation:
(If you are a student, please enter "student" and current grade level) *

Business Address:
(if applicable to the committee)

Membership Representation Category:

Please select the category to which you wish to represent membership in this committee (you may select more than 1)

Membership Representation Category *

Elementary

Secondary

District Office

N/A

ATA Representative

CSEA Representative

SEIU Representative

Parent/Guardian

Student

Albany Resident/Community Member

Other AUSD Staff Member

Other

If you are staff member, please list your position and location *

Parent Group Representation: Please indicate on the list below if you are a member of the following groups. You may select more than one.

*If you are NOT applying as a parent/guardian, please select N/A. *

Albany's Pride

Asian/Pacific Islander Parent Engagement Group

Albany Disability Squad

Black Parent Advisory Group

District English Learner Advisory Committee

Familias Latinas de Albany

Jewish Parent Engagement Group

Parent not representing any of the the above community groups

N/A

Required

Why do you want to serve on the Committee/Advisory Body for which you are applying?
*

Please state your qualifications for this Committee/Advisory Body and your objectives if you become a member.

Please list past and present AUSD and/or community activities you have participated in. *

Any additional comments

Certification: I certify that I understand the purpose of the Advisory Body/Committee to which I am applying. I further understand the length of commitment, and agree to consistent attendance according to the terms outlined in the Advisory Body/Committee notice of application. *

Yes, I understand and agree to the above.

Required

Affirmation: I verify that the above information is correct, and affirm that, in good faith, if selected to be on this Advisory Body/Committee, I intend to accept the appointment. *

Yes, the above information is correct and I do affirm that I will accept the appointment if selected.

Required

Send me a copy of my responses.

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