Exhibit V5
2327 L Street, Sacramento, CA 95816-5014 • 916.440.1985 • FAX 916.440.1986 • Email info@capta.org • www.capta.org
CALIFORNIA STATE PTA BOARD OF MANAGERS
STUDENT BOARD MEMBER INTERVIEW
DISTRICT PRESIDENT EVALUATION
DEADLINE: MARCH 15
STUDENT NAME: __________________________________________
UNIT/COUNCIL/DISTRICT: ___________________________________
DISTRICT PRESIDENTS:
Please review the following topics with the student. Use the space provided for
taking notes during the interview. Please mail the completed evaluation to the state office by the
deadline date of March 15.
PLEASE ASK THE STUDENT APPLICANT TO PROVIDE A BRIEF SUMMARY OF THE FOLLOWING TOPICS:

PTA/PTSA RESPONSIBILITIES

SCHOOL SERVICE-RELATED ACTIVITIES

COMMUNITY SERVICE
DISTRICT PTA USE ONLY
INTERVIEWED BY: _______________________________________
POSITION: _________________
INTERVIEW DATE: _______________________________________
DISTRICT #: ________________
STUDENT BOARD MEMBER INTERVIEW RUBRIC
INSTRUCTIONS
 Review each application. Use the space provided by each topic to record questions or
comments.
 Assign points according to the rubrics listed for each application. Criteria to consider are listed
by item.
 Add the total number of points to obtain a score for each application.
STUDENT BOARD MEMBER INTERVIEW RUBRIC
TOTAL POINTS AVAILABLE = 15
ITEM
SCORE
PERSONAL
INFORMATION
1 – 3 points
CRITERIA TO CONSIDER




Is the student verbal and at ease in normal conversation?
Will the applicant be willing to share a room with an
adult board member, if necessary?
Will the applicant’s course of study (work load) at school
permit his/her missing several days of school every two
or three months?
Is the applicant capable of and agreeable to participating
in convention workshops, student involvement activities
or commission/committee assignments?
PTA/PTSA
RESPONSIBILITY
1 – 3 points



Did student assist with any PTA/PTSA activities?
Did student serve as an officer/board member?
Does the applicant fully understand the duties and
obligations of a member of the California State PTA
Board of Managers?
SCHOOL SERVICE –
RELATED ACTIVITIES
1 – 3 points

Has applicant been active in school service-related
activities?
How did it benefit school/students?

COMMUNITY
SERVICE
1 – 3 points


OVERALL STRENGTH
OF APPLICATION &
INTERVIEW
1 – 3 points




Is applicant involved in community activities or after
school programs?
How did it benefit community?
Has the applicant followed directions in completing
application?
Is the application completely filled out? Page limit
adhered to? Correct letters of recommendation/release
time authorization have been provided?
Clearly answered questions?
Are there other points to consider?