Public Participation at Board Meetings Form                                      B17-E1
5897 Prestley Mill Road, Douglasville, GA 30135  Ph: 770-615-3680   Fax: 770-575-3614  
Public Participation at Board Meetings
If you have followed the policy regulations as stated and wish to communicate with the Board, please submit the following information to the Front Office at least 24 hours prior to the Board meeting at which you would like to speak. Meetings of the Board are usually held on the first and third Monday (with exceptions) of each month. See the board website for a complete list of meeting dates. Board Work Sessions and Board Meetings begin at 6:00 p.m. Public participation is limited to 3 minutes or less.  


Email *
Name *
Home Address  *
Is this a Douglas Coutny Residence? *
Daytime Phone *
Evening Phone *
Email Address *
Date of Board meeting at which you would like to speak  *
Please state briefly the subject about which you wish to communicate with the Board.   *
More detailed information may be attached. After review of your information, additional information may be requested.   
If this is concerning an issue with the school, have you spoken with a school administrator about the issue? 
Clear selection
Do you represent a school, organization, or citizen group regarding this issue?  
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If so which one?
What is your role with group?
Return this form to the Brighten Academy Front Office or the Board Secretary at the school. The form must be received at least 24 hours prior to the Board meeting at which you would like to speak. Thank you for communicating your concerns with the Brighten Academy Board. We appreciate your interest and support of our school. Please sign below if you have read and understand the Brighten Academy Policy regarding Public Participation at Board Meetings.  *
Signed  *
Date  *
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A copy of your responses will be emailed to .
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