CEA Parent Advisory Board

Thank you for your interest in joining the CEA Parent Advisory Board! We are looking for dedicated parents, grandparents, foster parents, and caregivers who want to help create safer communities, support families, and connect young people. Please complete this form to express your interest.

First name

Last name

Email address

Phone number

Home address (City/Neighborhood)

Which best describes your role?

Parent

Grandparent raising a child

Foster parent

Caregiver

Other

How many children are you currently caring for, and what are their ages?

What school level(s) are your children currently attending?

Elementary school

Middle school

High school

Not currently in school

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