2011 - 2012 SAC Membership Form

							                                  School Advisory Council Membership List 2011-2012

          School Name                     [Enter the School Name Here]


        Membership Representation                Ethnicity              Name                           Address                              Phone     Email
        A=Administrator                          B=Black                [Last, First]                                                       Number
        P=Parent                                 H=Hispanic
        T=Teacher                                O=Other
        SS=Support Staff                         W=White
        C=Community
        B=Business
        St=Student
SAC                                              Choose an
        Choose an item.
Chair                                            item.
DAC                                              Choose an
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DAC                                              Choose an
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Alt.                                             item.
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   Membership:       49% District employees: A-Administrator, T-Teacher (2 Minimum) SS-Support Staff (2Minimum) ST-Student (2 for high schools)
                     51% Non District Employed: P-Parent (2 min) C-Community Member (1 Minimum) B-Business Member (1 Minimum)

   Ethnicity/Race: B-Black H-Hispanic O-Other W-White
                   Racial percentage must be within +/- 10% of the actual percentage rate for that minority group with the zone the school serves
   DAC:              Please identify the member serving as the SAC representative by filling in his/her name in the rows labeled (DAC) or (DAC Alt)

   Questions? Contact Linda K. Boyle – 337-8352 or lindakb@leeschools.net
    Membership Representation                 Ethnicity              Name                           Address                              Phone     Email
    A=Administrator                           B=Black                [Last, First]                                                       Number
    P=Parent                                  H=Hispanic
    T=Teacher                                 O=Other
    SS=Support Staff                          W=White
    C=Community
    B=Business
    St=Student
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
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    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.


Membership:       49% District employees: A-Administrator, T-Teacher (2 Minimum) SS-Support Staff (2Minimum) ST-Student (2 for high schools)
                  51% Non District Employed: P-Parent (2 min) C-Community Member (1 Minimum) B-Business Member (1 Minimum)

Ethnicity/Race: B-Black H-Hispanic O-Other W-White
                Racial percentage must be within +/- 10% of the actual percentage rate for that minority group with the zone the school serves
DAC:              Please identify the member serving as the SAC representative by filling in his/her name in the rows labeled (DAC) or (DAC Alt)

Questions? Contact Linda K. Boyle – 337-8352 or lindakb@leeschools.net
    Membership Representation                 Ethnicity              Name                           Address                              Phone     Email
    A=Administrator                           B=Black                [Last, First]                                                       Number
    P=Parent                                  H=Hispanic
    T=Teacher                                 O=Other
    SS=Support Staff                          W=White
    C=Community
    B=Business
    St=Student
                                              Choose an
    Choose an item.
                                              item.
                                              Choose an
    Choose an item.
                                              item.




Membership:       49% District employees: A-Administrator, T-Teacher (2 Minimum) SS-Support Staff (2Minimum) ST-Student (2 for high schools)
                  51% Non District Employed: P-Parent (2 min) C-Community Member (1 Minimum) B-Business Member (1 Minimum)

Ethnicity/Race: B-Black H-Hispanic O-Other W-White
                Racial percentage must be within +/- 10% of the actual percentage rate for that minority group with the zone the school serves
DAC:              Please identify the member serving as the SAC representative by filling in his/her name in the rows labeled (DAC) or (DAC Alt)

Questions? Contact Linda K. Boyle – 337-8352 or lindakb@leeschools.net