Gotha Middle School SAC Intent FORM

Please print neatly.

Name of Parent/Faculty/Staff __________________________________ *Ethnicity _________

Name of Student(s)/(Grade Level):________________________________________________________

Mailing Address:_________________________________________, ________________, FL__________

Phone(s) to contact you: (W)_______________ (H)___________________ (Cell)_______________

Email: ________________________________________________

*Note: There must be a representative balance among the SAC members so that all groups of the school community have a voice in school improvement. Business and community leaders are appointed by the principal.

Questions: Contact Joyce Muller, Learning Specialist ( mullerj@ocps.net )