Public Testimony Request Form Survey

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Public Testimony Request

The San Diego Unified School District Board of Education wants to hear from you. To ensure your right to be heard, please submit this online request form by 5:00 p.m. the day preceding the board meeting. Otherwise, submit a request form to the Board Action Officer prior to the start of the board meeting.

1.	First Name*

2.	Last Name*

3.	Phone Number* Please enter your phone number in the following format, area code first: (999) 1234-5678

4.	Address* Please enter your address including apt or suite #.

5.	City

6.	State Please enter the state's 2-digit abbreviation.

7.	Zip Code* Please enter your 5 digit zip code. (Any additional numbers in your zip code are not necessary.)

8.	Email Address* Please enter a valid email address. (For example: youremail@website.com)

9.	Select Meeting Date: NOTE-If a specific board date no longer appears in the drop-down menu, the window to sign up electronically is closed. Interested parties can sign up in the auditorium prior to the start of the board meeting.*

10.	I wish to Speak About:*

11.	If you are speaking about an item on the agenda, enter the agenda number below. Example: E.01. Please leave blank if speaking on non-agenda items. NOTE: Public testimony for non-agenda items is heard at regular board meetings only. (For multiple items, please submit additional request forms.)

12.	Brief Description* Please enter a brief description of the subject of your hearing.