ACSA COMMITTEE MEMBER RECOMMENDATION FORM
For the Co- Administration Committee
To assist co-administrators (vice-principals, assistant principals, deans, coordinators, etc.)
in their role as instructional leaders within their schools and communities. To promote networking and increase
communication among co-administrators. To provide access to professional development and mentoring experiences. To
increase awareness of the co-administrator’s role and the importance of that role.
Responsibilities of committee members:
♦ Attend all state Co-Administrator Committee
meetings and report on region activities
♦ Attend all region meetings and report on Co-
Administrator Committee activities.
♦ Promote membership within your region.
♦ Attend Committee sponsored professional
♦ Contribute to projects undertaken by the committee.
♦ Provide leadership to other co-administrators in your
region
♦ Provide professional development within your region.
♦ Appoint an alternate to the committee from your
region who will attend functions in your absence.
Ability to:
♦ Communicate effectively
♦ Organize time and workload to incorporate
committee activities.
Committee Member Being Replaced: Term:
Name Social Security #
Title District School
Address
(Street) (City) (State) (Zip)
Telephone Fax E-mail
Superintendent of District
Superintendent's Address
Nominee's previous ACSA State, Regional or Charter activities:
• Please be sure to check the appropriate box for affirmative action: Male Female
African/American Asian Caucasian Eskimo – American Indian
Filipino Latino Pacific Islander
Special Instructions:
• Before you return this form, check to be sure the person recommended is an ACSA member. You are welcome
to contact the ACSA Membership Department at (650) 692-4300 if you are unsure.
• Be sure that you do not recommend any member who has already served a full three year term.
• Members may serve on only one ACSA State Committee at a time.
REGION: REGION PRESIDENT:
DATE:_______________
Return completed forms to: Lori Allred,
Executive Assistant
ACSA
, 1029 J Street, Suite 500, Sacramento, CA 95814
