Duchesne High School | Duchesne Board Committee Position Application

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Duchesne Board Committee Position Application

Date (mm/dd/yyyy)

Why do you want to be on a Board Committee?

Which Board Committee would you like to join?

First Name
Last Name

Street

Apt, floor, suite, etc.

City
State
Zip

Phone
E-mail

Are you a Duchesne alum?

If yes, what is your graduation year?

Spouse Name (N/A if not applicable)

Is your spouse a DHS alum?

If yes, what is their graduation year?

Number of Children (N/A if not applicable)

Children Names

Do your children attend DHS?

If so, please list their grade(s).

Are your children DHS alum?

If yes, when did they graduate?

Religion

Parish Congregation

Business Information:

Name of employer

Position/Title

Please provide a brief bio including any relevant skills/experience/hobbies.

Referred by (if applicable)

What is your relationship?

Current month ye@r (4 digits) day *