Farmington Area Public Schools

 

Name:
Address		City
		Zip
Primary Phone		Other Phone
Email
Occupation:
YesNo	I will commit to attending 6-8 meetings per year on the 2nd Tuesday of the month at 6:30 pm
YesNo	I am a Farmington Area School District resident.
1.	If you are a parent/guardian please check all ages that apply		PreschoolElementary AgeMiddle SchoolHigh SchoolCollege AgeAdult AgeDoes Not Apply
2.	What involvement have you had with Community Education in the past (programs enrolled in or services received?
3.	What personal skills would you be willing to share with our council and community?  (Example: leadership, art work, time, organize classes, key communicator, advocate, volunteer at events)
4.	Indicate any special intereste areas you have within Community Education		Early Learning (0-5)School Age CareYouth EnrichmentCommunity ServiceAdult EnrichmentAdult Basic Education (GED-ESL)Aquatics
5.	Please list any community groups you are involved with
6.	Please add any additional information or comments you wish to provide.