Parent Liaison Volunteer Form 2021-22

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Option 1

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First Name *

Last Name *

I am interested in serving as a Parent Liaison for the following school(s):

Email Address

Phone Number

Mailing Address

The best time for me to attend meetings include:

Please check all that apply.

Weekday mornings

Weekday - Lunchtime

Weekday afternoons

Weekday evenings

Not applicable

Other:

The best place to drop off Back to School materials for me is:

(SEPTA and the PRC will prepare a packet of Back to School Night materials (PRC and SEPTA flyers, PRC contact cards, and PRC notebooks to share with families at Back to School Night) for Liaisons . Please let us know whether we should drop it off for you at your school's front office or your home address. Thanks!)

If you will be transitioning to a new school, and/or are unable to continue serving as a liaison, is there someone else you'd recommend we reach out to to fill your position? If so, please provide name/email contact. Thanks so much!

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