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Pre-K Parent Leadership Interest Form
Join Our Parent Leadership Team! Durham’s Partnership for Children – Pre-K Family Engagement and Leadership Initiative. We believe parents are their child’s first and most important teachers. If you are interested in supporting your school, building leadership skills, and partnering with other families, we invite you to join our Parent Leadership Team. 🔹 Help organize, plan, and run family events 🔹 Share your voice at the table 🔹 Connect with other engaged parents 🔹 Receive support and leadership opportunities
Name (Please Print)
*
First Name
Last Name
Contact Number
*
Please enter a valid phone number.
Email Address
*
example@example.com
Best days/times you are available for meetings or activities
Preferred way to communicate (allow multiple selections)
Text
Call
E-mail
Other: ________________________________________________
Email Address
example@example.com
Number of Adults Attending:
*
Number of Children Attending:
*
Are you interested as a:
Parent or Guardian
Childcare Representative
Public, Charter, Private School Representative
Community Supporter/Volunteer
Race
American Indian or Alaska Native
African American/Black
Hawaiian or Pacif Islander
European/White
Multi-Racial/Mixed Race
I Prefer Not To Answer
Other:________________________________
Ethnicity
Hispanic or Latino
Not Hispanic or Latino
I Prefer Not To Answer
Child’s Pre-K Program/Site (not applicable please write in community supporter)
Why are you interested in becoming a Parent Leader?
What strengths, talents, or experiences would you like to share as a Parent Leader?
What specific topics or areas are you passionate about (e.g., family engagement, early learning, community resources, advocacy)
Do you need translation services?
Yes, Language ___________________________
No
Signature
Date
-
Month
-
Day
Year
Date
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