Capital High School Site-Based Team Application Name: Phone: ______________ Address: Email: Are you applying as a: □ Student □ Staff member □ Parent □ Community member Do you currently have children in school? □ Yes □ No (not required to serve) If yes, in what school(s)? What grade(s)? _________________________________________ ____________ _________________________________________ ____________ _________________________________________ ____________ What previous experience with the educational system have you had? Briefly describe your reasons for wanting to serve on the CHS Site-Based Team. What contribution would you see yourself making to the team? Please return to the Capital High School main office. If you have any questions, please feel free to call Dusty Huxford at 596-8000.