Public Comment at School Board Meetings
Sign-Up Form 204.15-E

This form must be completed and submitted to the Board Secretary prior to the start of the Board meeting in order for the Board President to recognize a speaker at the appropriate time during the meeting. Please review Board Policy 204.15 for information related to the process for specific complaints or concerns and the Board’s expectations for conduct during its meetings. If you will be speaking on an Agenda item, you will be recognized when the item is being discussed by the Board. If you are speaking on a non-agenda item, you will be recognized during Citizen Input.

Name: *

Phone Number (Include Area Code): *

Address *

If you are speaking on behalf of a group or entity, list the names and addresses of the entity or individuals you are representing):

On what subject do you wish to speak?

Does the matter you wish to speak about pertain to an agenda item being considered at this meeting?
If so, please indicate which item:

Has your concern been presented to the Superintendent previously? *

Yes

Thank you. We appreciate your interest in public affairs and in our District.

NON-DISCRIMINATION STATEMENT:

The Sioux City Community School District offers career and technical programs in the following areas: Business & Marketing, Family & Consumer Science, Health Science, and Industrial Arts, Technology, & PLTW.

The Sioux City Community School District is an equal opportunity/affirmative action employer and does not discriminate on the basis of race, creed, color, sex, sexual orientation, gender identity, genetic information (for employment), national origin, religion, age (for employment), disability, socioeconomic status (for programs), marital status (for programs), or veteran status (for employment) in its educational programs and its employment practices. The District is required by Title IX and 34 CFR Part 106 not to discriminate on the basis of sex in its programs, activities, or employment.

Inquiries or grievances under Section 504 and Title II of the Americans with Disabilities Act may be directed to Dr. Dora Jung, Director of Student Services & Equity Education/Title IX Coordinator at 627 4th Street, Sioux City, IA 51101, (712) 279-6075, jungd@live.siouxcityschools.com. Inquiries about the application of Title IX and its regulations to the District may be referred to the Title IX Coordinator, the Assistant Secretary of the U.S. Department of Education, or both. Please see District Board policies 103 and 504.4 for additional information on available grievance procedures.

Public Comment at School Board Meetings Sign-Up Form 204.15-E

Public Comment at School Board Meetings
Sign-Up Form 204.15-E