Speaking at the School Board Meeting Request Form

Contact Information:

First Name *

Last Name *

Email *

Phone *

Affiliation:

Role:

Student Name

Grade

Meeting Information:

Attendance

Topic of Discussion:

Subject/Title: *

Summary of Key Points: *

Additional Information:

Date of Meeting: *

Supporting Documents:

Attach any relevant documents

Special Requests:

Consent:

Agreement to rules *

I agree to abide by these rules.

I consent to my details being used for scheduling purposes: *

Board Meeting Signature *