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NOMINATION FORM
2011–2012

Nominations are open for 15 positions on the Montgomery County Public Schools Parent Advisory Council (PAC). Council members, who must have at least one child in the school system, provide input on ways to improve communication and parent engagement at the district and local school levels and also provide parent advocacy trainings to support student learning. PAC meetings are facilitated by staff in the MCPS Department of Family and Community Partnerships.

Please complete one form per nominee. Forms must be submitted by 5:00 p.m. on September 16, 2011. Appointees will be notified by September 23, 2011. For more information, see the PAC brochure or call 301-279-3100.

Montgomery County Public Schools
Parent Advisory Council

NOMINATION SUBMITTED BY:

    

Name:  

Mailing Address:  

Home Phone:      Work Phone:  
        
Cell Phone:      Email:  

How do you know the nominee?  

Does the nominee know that you are submitting his/her name?
Yes No

NOMINEE INFORMATION:

     Name:  

Mailing Address:  

Home Phone:      Work Phone:  
        
Cell Phone:      Email:  

Nominee is a parent of child(ren) in the following school(s):

        
        
        

Is foreign language or sign language interpretation needed?
Yes No

If yes, which language:  

Explain why you believe the nominee would be a valuable member of the MCPS Parent Advisory Council. Include information about the nominee’s interests and experiences related to MCPS programs and services, including but not limited to special education, gifted and talented, and ESOL.

Updated August 19, 2003 | Contact Webmaster
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