Rezoning Focus Group Application

Basic Information

While it is important to give all stakeholders a voice in important matters such as school attendance zones, our team also acknowledges the need for a small and focused group to gather feedback. A public survey to gather feedback will allow ALL citizens to participate in the process.

A small number of Germantown parents and school administrators will be selected through an application process.

*The Attendance Zone Focus Group will meet during the work day two times November 2017-January2018. The two tentative meetings have been scheduled for:
- November 9th, 9am
- December 15th, 9am
Applicants must be able to attend both meetings.

Applicants chosen will be notified via phone call.

Personal Information

Please note that answering or not answering any of the questions is at the sole discretion of the applicant--and that Germantown Municipal School District offers educational and employment opportunities without regard to race, color, creed, national origin, religion, sex, age, or disability and adheres to the provisions of the Family Education Rights and Privacy Act (FERPA).
Name *

First Name Last Name
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Phone Number *

Area Code Phone Number
E-mail *
Please indicate your relationship to our schools. *

Parent or Guardian
Please check each school that you currently have an affiliation with. *

Dogwood Elementary Farmington Elementary Riverdale K-8 Houston Middle Houston High
Ethnic Background
Gender

Why are you interested in serving on this focus group?

Please note that answering or not answering any of the questions is at the sole discretion of the applicant--and that Germantown Municipal School District offers educational and employment opportunities without regard to race, color, creed, national origin, religion, sex, age, or disability and adheres to the provisions of the Family Education Rights and Privacy Act (FERPA).
Tell us a little bit about yourself, and why you are interested in serving on this committee.
I am available to attend meetings during the workday. *
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