PTA Council of Howard County

Name:  __________________________________   Check here if you’re a Council Delegate: _­_____

Postal Address*:____________________________________________________________________

Home Phone* _________________________________  Cell Phone*: __________________________

Work Phone* ______________________________  Email address* ___________________________

County School(s) in which you have childrenenrolled:_______________________________________

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Please list here any issues or topics on which you have particular knowledge:

Please list here any issues or topics on which you have experience in developing policy or procedures, and give us information on the person or organization with which you have such:

Please list here any issues or topics in which you have an interest in developing or reviewing and revising policies and procedures for the Howard County School System:

Is there a particular Advisory Committee or group you’re interested in?  If so, please tell us here:

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Please return this form to: Howard County PTA Council Office, HCPSS Staff Development Center, 10598 Marble Fawn Court, Columbia, MD 21044; or ptachc@gmail.com.