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Request to Add an Agenda Item

T hi s for m mu s t be c o mpl e t e d an d r e t urn ed t o t he c l e rk o r t he s up er i nte nde nt a t l ea s t {_ 7 _ } da ys be for e t he me e t i n g a t wh i c h you w i sh t o s pe a k . Y ou r r eq uest w i l l be r e vie we d , a nd o ne of t wo r e co mme nd a t i o ns w i l l be ma d e :




  1. R ef erra l of yo ur r e que s t t o t h e ap pro pria t e a d min i s t r a t or.

  2. D e c i s i on b y t he Bo ard of E d uc a t i on t o a dd a s a gen da i t e m.




    • P r e sen t a t i on s s hal l no t exc ee d { _ 5 _} mi nu t es .

    • S u bj ects , oth er t h an p ol i c y i s s ue s , will ge ne r a l l y be r efer r e d t o t he a d min i s t r a t i o n .

    • C o mme n t s sha l l be l imi t ed t o i s su es an d no t r efe r t o per so nali t i e s .

    • P r e sen t a t i on s mu s t b e i n go od t ast e b ef i t t i n g t he occ asi on a n d t he d i gnit y of t he b oar d me e t i n g .

    • A c o p y or an o ut l i ne of yo ur p r es ent a t i o n mu s t b e i ncl ude d w i t h t his r eq uest f or m.

P er mi s s i on t o ap pear b efo r e t h e bo ard a t a r e gu l ar me e t i n g i s subj ect t o t he a bo ve rul es .

N a me __ _ _ __ __ __ ___ _ __ __ __ __ __ __ __ __ _ __ __ __ __ __ __ __ __ _ __ __ __ __ __ __


A d dre s s

_ __ __ __ __ __ _ __ __ __ __ __ __ __ __ _ _ T e l e ph one

_ __ ___ _ __ __ __ __ __ __



In d i vid ual or or gan i zat i o n ( i f an y) yo u r ep r es ent _ __ __ _ __ __ __ _ __ __ __ __ __ _

_ _ __ __ __ __ __ __ __ __ _ __ __ __ __ __ __ __ __ _ __ __ __ __ __ __ __ __ _ __ __ __ __ __ __ _


O r gan i zat i o nā€™ s a ddr es s __ __ __ __ __ __ __ __ _ __ __ __ __ __ __ __ __ _ __ __ __ __ __ __
S i gnat ure _ __ __ __ ___ _ __ __ __ __ __ __ __ __ _ __ __ __ Dat e_ __ ___ _ __ __ __ __ __ __
D i s t r i c t o f f i c i a l ā€™ s s i gn a t ur e __ __ __ __ ___ _ __ __ __ __ __ __ __ __ _ __ __ __ __ __ __ _


D a t e r ec e i ved

_ __ ___ _ __ __ __ __ __ __ T ime r e cei ve d



__ __ __ __ _ __ __ __ __ __ __ _



Approved: 07 / 04 ; ame n d ed 1 0 / 0 9 ; 0 9 / 1 1
R et ur n t o Se ctio n B In d e x
B a c k to Ma ster In d ex





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