Western Dubuque County Community School District
Agenda Placement Request
6/17/2019

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Agenda Placement Request

(Western Dubuque School Board Meeting)

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Individuals that request to be placed on the agenda of a Western Dubuque School Board meeting need to complete the following information at least 5 calendar days prior to the meeting date. The Superintendent after consultation with the board president will decide upon the request.

The presentation is limited to a maximum of five minutes. Any materials to be presented at the meeting should accompany this request. They will be submitted to the Board for study and review at least five calendar days before the meeting.

Board meetings are typically held the second Monday of each month at 6:00 p.m. at the Administrative Central Office in Farley, Iowa.

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First Name
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Last Name
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Date of Meeting (mm/dd/yyyy)
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Address
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Purpose of Presentation
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Action Desired
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Background Information
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Click to Upload Files
Attach any materials to be presented at the Board meeting. Materials will be submitted to the Board for study and review at least 5 calendar days before the meeting.
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Routing Instructions
Please route this form to the following personnel:
1. Superintendent
Complete the information below to route your form. * Indicates Required Fields
Send to Approver:  
No approver has been assigned to this form, please contact your District Forms Manager.