Public Participation Form

Virtual Public Participation Form

Reminder: GBAPS staff members wishing to make a public comment, please be mindful of student confidentiality and your obligations under state and federal law.

Deadline to submit the Virtual Public Participation Form to be called during the Board Meeting or Work Session is 3:00 p.m. the day of the meeting. Any forms received after 3:00 p.m. will be considered written comments.

Please note, all comments submitted through the public participation form will be made public. Fields marked with a red asterisk (*) must be filled in.

Name *
Address *
City *
State *
Zip Code *
Phone Number *
Email *
Representing *	Myself Group:
Subject
Comments *
I would like to speak during open forum.
I plan to attend and speak in person.
OR I wish to be called.
Please use the following phone number to call me during open forum.	* *Note: You will receive a call from an out-of-state phone number.
Check the box to indicate you've read the following statement. *	I certify that I am the individual named and identified in this public comment submission. I understand that the District reserves the right to confirm the validity of the information provided above and reserves the right to determine that the information provided in this submission is fraudulent. I certify, under penalty of perjury, that the information furnished on this document is true and correct and the District may rely on this information to determine the validity of the identity and contact information of the person submitting the comment.

Security Measure

Food Service Department

Public Participation Form