Security and Emergency Management Advisory Committee (SEMAC) Application 2023-2024
(Formerly Risk and Emergency Management Advisory Committee or REMAC)
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State
Zip Code
Primary Number
*
-
Area Code
Phone Number
Cell Number
-
Area Code
Phone Number
Email
*
example@example.com
If you are not a resident of the school district but you work in the community, please provide the following:
Name of Employer
City of Employer
Position/Title
Do you have children age 18 and younger
*
Yes
No
Child 1
Age and School Attending
Child 2
Age and School Attending
Child 3
Age and School Attending
Child 4
Age and School Attending
Please describe why you are interested this work and how you will contribute to the purpose of the Advisory Committee.
*
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 Security and Emergency Management Advisory Committee. The information will be used to help ensure that Advisory Committee 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 Advisory Committee. If you are selected as a member of the Advisory Committee, your name and your employment information (if applicable) will become public data, in accordance with Minn. Statute § 13.43.
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