Florida School Choice Resource Center (FSCRC)
Advisory Board Application

* Asterix denotes required fields

*Salutation:

*First Name:

*Last Name:

*Job Title:

*District/Organization:

*Address:

*City,*State, & *Zip Code:

*Phone:

Ex: xxx-xxx-xxxx Ext: (if applicable)

Fax:

Ex: xxx-xxx-xxxx

*Email:

Ex: yourname@domain.com

*Brief statement about your interest in school choice:

*Who will you be representing
on the board?
(see list below)

Florida Department of Education, two - three representatives from various offices
Community Business one –two representatives
Community Organization one –two representatives
A Business Community (ABC) School Program Representative
Controlled Open Enrollment Representative
Career and Technical Education (Career Academies) Representative
Magnet School Representative
District School Choice Representative
Advanced Placement (AP) Program Representative
Advanced International Certificate of Education (AICE) Program Representative
Dual Enrollment Representative

International Baccalaureate (IB) Diploma Program Representative
Title-I – No Child Left Behind Choice: SES Representative
Title-I – No Child Left Behind Choice: Choice with Transportation Representative
Opportunity Scholarship Representative
McKay Scholarship Representatives
Corporate Tax Credit Scholarship Representative
Private School Representative
Public Charter School Representative
Virtual School Representative
Military Family Choice Representative
Controlled Open Enrollment Representative
Home Education Representative
Small Learning Community Representative

For any questions, please contact Katy Twist-Harty at (800) 986-3223 x28717