Washington State School Directors' Association
 

 
WSSDA Community Engagement Service Registration Form

RETURN TO COMMUNITY ENGAGEMENT INFORMATION PAGE

General Information

The five districts participating in the Community Engagement Service will be:

1.  

2.  

3.  

4.  

5.  

Workshop Date (if known)

Workshop Location (if known)

Your Community Engagement Team

Please identify the primary contact for your district:

Name  
Title  
District  
Address  
City     ZIP:  
Email  
Phone   (with area code)
 
The team members for my district are:
  Name Title District/Company Email Phone
(w/area code)
1.
2.
3.
4.
5.





Payment Information

The cost of the Community Engagement service is $750 (per district).

PO# Please bill me.
I will mail a Purchase Order to WSSDA, 221 College St. NE, Olympia, WA 98516
A check is in the mail.