DCIS at Fairmont PTA - PARENT/GUARDIAN INVOLVEMENT FORM
The mission of the DCIS at Fairmont PTA is to engage and empower parents, teachers, students and staff in order to foster a sense of community, pride and involvement.
Parent/GuardianName(s): ___________________________________________________________________________
Address:____________________________________________________________________________
Email: _____________________________________________________________________________
Land Line: ________________________ Cell Phone: ________________ OK to Text? □ Yes □ No
I work during the school day: □ Yes □ No □ Sometimes Occupation: _________________________________________
Employer: _________________________________________ Does your company/organization provide any of the following?
___ Financial donations/sponsorships ___ Matching donations ___ Gifts in-kind (donations of food, supplies, etc.)
Your Student(s):
Student #1: Name ____________________________ Language _____________ Grade ____
Student #2: Name ____________________________ Language _____________ Grade ____
Student #3: Name ____________________________ Language _____________ Grade ____
PTA ACTIVITIES: Check the boxes of the areas in which you'd like to be involved to work on a committee:
□ HEALTH – Work on a committee to support positive health improvements with our school and events focused on promoting healthy food choices and movement.
□ EQUITY – Help ensure all members of our community feel welcome, valued and included
□ TEACHER APPRECIATION-Create and support events that express teacher appreciation.
□ FUNDRAISING & EVENTS – Raise funds for school- and PTA-sponsored activities; plan and help at events
· Whoo's Reading Fundraiser (Needs leadership!)
Online reading logging and sponsorship. https://www.whooosreading.org
· Dine Out Night (NEEDS Leadership!)
Connect with local restaurants to schedule Dine Out nights, portion of sales go to PTA.
· Holiday Christmas Tree Lot Sale
Help set up, organize and sell trees November and December on local lot
· International Festival
Spring carnival with activities, performances and silent auction of teacher experiences
□ MEMBERSHIP/Recruitment/Corporate Sponsorship - Support recruitment, membership & sponsorship
□ GROUNDS BEAUTIFICATION – Join committee to improve grounds, and current discussion around
ECE playground.
□ COMMUNICATIONS – Improve information sharing at the school and in the community
□ D.C. EXPERIENCE – Join our committee in developing long term fundraising plans for each 5th grade
class to go to Washington D.C. starting for current 4th graders and each subsequent class.
□ SCHOOL STORE – Join our team to prepare and sell pizza, nachos and snacks on Friday after school.
□ I am interested in being involved in a leadership role on the DCIS at Fairmont PTA.
JUST INTERESTED IN BEING KEPT IN THE LOOP?
□ I'm not interested in any of the above opportunities, but keep me in the communications loop.
· Are you using our school application? ___no ____ yes
If NOT, are you interested in how to use it? ____ yes
ADDITIONAL INFORMATION
I am comfortable communicating in (check all that apply):
□ English □ Spanish □ Other _______________________________________
I would be more likely to attend gatherings/events if the following were provided:
□ English to Spanish translation □ Child care □ Other _________________________________
I enjoy and/or am really good at: __________________________________________________________________________
___________________________________________________________________________
Comments: ___________________________________________________________________________
