Board member request form

	Name*

	Address

	Phone Number

	Email

	Choose the trustee you would like to attend your community meeting*
	--Please Select--District I - Elizabeth SantosDistrict II - Katherine Blueford-DanielsDistrict III - Daniela HernandezDistrict IV - Patricia AllenDistrict V - Sue DeigaardDistrict VI - Kendall BakerDistrict VII - Bridget WadeDistrict VIII - Judith CruzDistrict IX - Myrna Guidry

	Meeting date*
	mm/dd/yyyy

	Meeting time*

	Meeting location*

	What is the purpose of this meeting?