Westlake Board of Education
Citizens Advisory Committee
Membership Application 

Name ________________________________________    Date ___________________ 

Address________________________________________________________________ 

Home Phone _______________________ Work Phone _________________________ 

Occupation _____________________________________________________________ 

Hobbies and Interests ____________________________________________________ 

Education Name of School
  High School __________________________________________
  College __________________________________________
  Graduate School  __________________________________________

Organizations to Which You Belong

___________________________________     ___________________________________

___________________________________     ___________________________________

 

Spouse’s Name _______________________

 

Children’s Names Age School
____________________________ ________ _________________________________
____________________________ ________ _________________________________
____________________________ ________ _________________________________
____________________________ ________ _________________________________

Why would you like to serve on the CAC?

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

Please return completed application by May 19, 2007 via hand delivery or mail to:

Westlake Board of Education
Citizens Advisory Committee
27200 Hilliard Blvd.
Westlake, OH 44145 

You may also e-mail the completed form to the Citizens Advisory Committee at: 

CAC@westlake.k12.oh.us