Community Education Advisory Council Application

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Advisory Council Membership Application

Thank you for your interest in serving on the St. Cloud Area School District 742 Community Education Advisory Council! It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age or disability. For assistance, please contact Staci Hawley 320-370-8200 or email staci.hawley@isd742.org. The Community Education Main Office is located at Quarryview Education Center, 800 S. Seventh St., Waite Park, MN 56387. We are currently seeking applications for the 2021-22 Advisory Council at this time.

1.	Applicant Name* First and Last

2.	Street Address*

3.	City St ZIP Code*

4.	Home Phone*

5.	Work Phone

6.	Cell Phone

7.	Email*

8.	Occupation/Employer

Which sector(s) apply most to you?*
Our goal is to appoint members from different sectors of the community so that we may get a broad spectrum of ideas.

Service Organization(s)

Faith-based

Public school parent (including charter schools)

Private school parent

Local government

Public and private non-profit agencies

Youth

Parks and Recreation

Community Education participant

11.	Special Skills or Qualifications* Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including hobbies or sports.

12.	Tell us why you are interested in serving on the Advisory Council* Share from a personal and/or professional perspective.

13.	Signature* Please enter electronic signature (first, middle initial, last name)

14.	Date * Application submitted.
	mm/dd/yyyy