District Planning Advisory Council (DPAC)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Email
*
example@example.com
Do you have children age 18 and younger?
*
Yes
No
Child Age and School Attending
Please describe why you are interested this work and how you will contribute to the purpose of DPAC.
*
Check one (optional)
Male
Female
Check as many as apply (optional)
African or African American
American Indian/Alaskan Native
Asian and Pacific Islander
Latinx
White
More than one of the above
The information requested above is collected in order to assist with the selection of members for the District Planning Advisory Council. The information will be used to help ensure that DPAC members reflect diverse perspectives among the families and community members served by the school district. You are not required to provide the information; however, failure to do so may result in the selection team’s inability to fully consider your potential contributions to the DPAC. If you are selected as a member of the DPAC, your name and your employment information (if applicable) will become public data, in accordance with Minn. Statute § 13.43.
Submit
Should be Empty: