ACSA COMMITTEE MEMBER RECOMMENDATION FORM
For the Small School District Committee
Purpose of Committee: To advocate small school district issues within ACSA. To provide the Legislative Policy Committee
information on legislation that would affect small school districts in conformance with ACSA’s legislative platform positions. To provide
training and information to support small school district administrators. To facilitate networking between CSBA’s Small School District
Council and the Small School Districts Association Executive Committee. An opportunity for Small School District Superintendents to
network and provide collegial support.
Responsibilities of committee members:
Provide leadership at the region level for the region Attend three state committee meetings.
level committee. Serve as a representative for the Small School
Disseminate information from committee meetings to District Committee on other related committees with other
Small school district leaders at the region level. other organizations.
Attend ACSA Leadership Summit. Initiate discussions at state committee level about regional
Contribute articles to region newsletters. Issues which have statewide impact.
Ability to: Experience:
♦ Dedicate time to Small School District committee in
addition to regular work responsibilities. Estimated total
time commitment per year 3-6 days and the Leadership
♦ In leadership positions dealing with Small School
Districts.
Committee Member Being Replaced: Term:
Committee Member Recommended:
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
