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Advisory Council Application
Advisory Council Application
Please complete this form if you are interested in joining the Itasca Area Community Education Advisory Council.
First Name:
*
Last Name:
*
Phone:
*
Email:
Address:
*
Address:
City:
*
State:
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MN
Zip:
Age Group
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Student
Age 18-30
Age 31-54
Age 55+
*
Gender
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Male
Female
*
What Community location are you affiliated with?
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Deer River-ISD 317
Grand Rapids-ISD 318
Bigfork-ISD 318
Greenway-ISD 316
Nashwauk/Keewatin-ISD 319
*
Which Community Education programs/events/projects are you most interested in? (Check all that Apply)
Early Childhood Family Education
Youth Enrichment/Development
Adult Enrichment
Children First!
Family Support
Senior Programming
Why do you wish to serve on the Community Education Advisory Council?
*
Send a copy of the completed form to this email address :
*
Indicates Required fields.
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