ACSA COUNCIL MEMBER RECOMMENDATION FORM
For the Secondary Education Council
Purpose of Council: To identify and study issues and make recommendations to ACSA Board of Directors
related to secondary education. To recommend practices and policies which will lead to high quality programs for
secondary students. To recruit secondary administrators as members and to maintain a liaison between ACSA,
NASSP, C.I.F., and other state agencies relating to secondary education. To plan and coordinate professional
development programs for secondary administrators
Responsibilities of council members:
• Provide leadership at the region level for the region level committee
• Disseminate information from council meetings to Secondary Education leaders at the region level
• Contribute monthly articles to region newsletters
Ability to: Experience:
Dedicate time to Secondary Education Council Site or district experience in secondary
in addition to regular work responsibilities. education administration, minimum 3 years
Estimated total time commitment per year = six days
Council Member Being Replaced: Term:
One Box must be selected
Council Member Selected
Council Member Elected
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/Council at a time.
REGION: REGION PRESIDENT:
DATE:_______________
Return completed forms to: Lori Allred | lallred@acsa.org
ACSA, 1029 J Street, Suite 500, Sacramento, CA 95814
