OPX Family Advisory Board Application

OPX Family Advisory Board Application
Parent/Guardian's Name

First NameLast Name
Phone Number

Area CodePhone Number
Email
example@example.com
Site/Location of Child(ren):
Name of Child 1

First NameLast Name
Grade of Child 1:
Name of Child 2

First NameLast Name
Grade of Child 2:
Name of Child 3

First NameLast Name
Grade of Child 3:
Are you interested in joining the Family Advisory Board?
If yes, how often can you meet?
If yes, how would you like to meet??
Are you currently employed? If yes, please proceed below and tell us about your job (job title, responsibilities etc.).
List job title, name of employer, responsibilities etc.
What skills do you have? Please share. (i.e. communication, technology, mentoring, tutoring, fundraising, health & wellness etc.)
Are you involved in any activities, professional and/or religious organizations (memberships, committees, etc.)? Please share.
Is there anything that may keep you from participating (i.e. transportation, childcare, work schedule etc.)? Please share.
Any topics that you would like for us to discuss or activities you'd like for us to plan? Please share.
What's your availability? Check all that apply.
Should be Empty: