Parent Council Prospective Member Application

 

Name(s):
Address:	Street/Road City State Zip
Phone:	(Day/Business) (Evening/Home)
Email Address:
Occupation:
Degrees and/or Certifications:
Name of son(s) and/or daughter(s) attending Messiah:
Anticipated year of graduation:
Current Major:
	Briefly describe your interest in serving on the Parents' Council:
	Briefly describe your church affiliation and involvements:
	The Parent Council meets twice a year; during Family Weekend in September, and usually in early April. The meetings are normally scheduled Friday afternoon and Saturday morning. Will you be able to commit to attending these meetings?   Yes No Unsure Need More Information
	Need More Information Unsure No Yes
	Briefly describe what you believe to be some of the essentials for effective Christian education:
	What contributions would you like to make to Messiah College through Parent Council involvement?:
	Can you endorse and support our Mission and Identity Statements and Statements of Faith?   Yes No
Additional Comments:
Signature(s):	If you are filling out this form, please type your full name with date included in the boxes below: Full Name Date Full Name Date