Responses from this survey are submitted to Melissa Holder, KASB executive assistant to the executive director. All responses are confidential.

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* 1. Please provide the following:

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* 2. I am interested in becoming more involved in the following areas:

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* 3. If a vacancy occurs on any of the following standing committees, I would be interested in filling the unexpired term (subject to appointment/approval):

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* 4. KASB often represents board of education/governance interests through liaisons to other organizations, such as the Confidence in Kansas Public Education Task Force, the Kansas Learning First Alliance, Kansas State Board of Education special committees and others. If you are interested in representing KASB, please indicate your areas of interest.

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* 5. Comments or Questions?

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