2023-2024 Membership Form Please complete this form AFTER your inaugural meeting. Information collected is for internal use only. Division/District(Required) Office Address(Required) Street Address City/Town Postal Code Is the mail address the same as above? Yes No Mailing Address Street Address City/Town Postal Code Board of Trustees (PLEASE LIST BOARD CHAIR FIRST)(Required)Full NameWardEmailTelephone (separate by , if multiple) Add RemoveClick on the [+] icon at the end of the row to expand the list.Senior Administration(Required)Full NamePositionPhoneEmail Address Add RemoveNames of superintendent and secretary-treasurer to be listed here. (Click on the [+] icon at the end of the row to expand the list.)Board Meeting ScheduleDayTimeLocation Add RemoveUpload any supporting files Drop files here or Select files Accepted file types: pdf, doc, docx, Max. file size: 10 MB. Board chair news releases, for example.NOTE: form cannot be re-submitted after it has been sent! Contact Jennifer Esau at MSBA should you need to make changes.Contact Name(Required) Name Person who completed this form.Email(Required)
