Unified Application for Board Advisory Committees

Please tell us about yourself...

Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState

Postal / Zip Code

Email

example@example.com

Preferred Phone Number

Area CodePhone Number

Select all of the roles below which apply to you:*

I am a current San Juan Unified STUDENTI am a current PARENT/GUARDIAN of an enrolled San Juan Unified studentI am a COMMUNITY MEMBER (non-parent/guardian of a current student)I am an EMPLOYEE of San Juan UnifiedOther

Select all of the roles below which apply to you:*

I am a current San Juan Unified studentI am a current parent/guardian of an enrolled San Juan Unified studentI am a community member (non-parent/guardian of a current student)I am an employee of San Juan UnifiedOther

What grade level are you enrolled in currently?

Do you have children in San Juan Unified schools?*

YesNo

Which grade levels or programs do your students participate in or are you enrolled in if you are a student?*

Please select the early childhood education center(s) where your student attends or you are enrolled if you are a student:*

Please select the elementary school(s) where your student attends or you are enrolled if you are a student:*

Please select the K-8 school(s) where your student attends or you are enrolled if you are a student:*

Please select the middle school(s) where your student attends or you are enrolled if you are a student:*

Please select the high school(s) where your student attends or you are enrolled if you are a student:*

Please select the special education center(s) where your student attends or you are enrolled if you are a student:*

La Vista Special EducationLaurel Ruff Special EducationRalph Richardson Special Education

Application for Advisory Committees