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E-SPLOST Advisory Committee Membership Application

E-SPLOST Advisory Committee Membership ApplicationKen Nwosu2022-01-04T14:00:55-05:00

Personal Contact Information*

Prefix

First Name

Last Name

Suffix

Address*

City*

State*

ZIP Code*

Email address*

Phone Number*

What CURRENT high school cluster do you RESIDE in?*

Work Contact Information*

Position

Company Name

Mailing Address*

City*

State*

ZIP Code*

Work Email Address*

Work Phone Number*

Do you have children that attend school in the DeKalb County School District?*

Yes

No

How many children do you have?

What school does your child(ren) attend?

What grade level is/are your child(ren) in?

Elementary (PreK- 5)

Middle (6-8)

High (9-12)

Do you work for DeKalb County School District?*

Yes

No

How long have you work for the District?

What school or department do you work in?

What is your current position or title?

Have you ever worked for the DeKalb County School District?*

Yes

No

What years did you work for the District?

What school or department did you work?

What was your current position or title?

Do you have relatives that are Board Members or work for the DeKalb County School District?*

Yes

No

What school or department do they work in?

What is their current position or title?

Do you have any economic interest, open contract, or financial relationship with the DeKalb County School District or any of the District's projects?*

Yes

No

Please specify.

Are you an advocate, supporter, or booster for a particular school's capital improvement project?*

Yes

No

Please list the name of the school or schools and your level of advocacy and role for such project(s).

This field should be left blank