Form 1 APPLICATION FOR A POSITION ON THE LAKE COUNTY ESC LOCAL PROFESSIONAL DEVELOPMENT COMMITTEE Applicant must: Have three years experience as an educator Hold a valid Ohio certificate/license in the area of employment responsibility Be employed by LCESC Be available for early Friday afternoon meetings 1. Why are you interested in being on the LPDC? 2. What is your understanding of the responsibility of the LPDC? 3. What experience do you have that would help contribute to this committee? Signature Print Name Phone # Email Please confine your answers to the space provided. Date Page 13