Alliance Partner Advisory Council Interest Form

I am interested in being considered for a seat on the Alliance Partner Advisory Council. I have read the membership guidelines and am willing to fulfill the expectations.

Name *

First

Last

Company *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone number *

Email *

Please explain your current partnership with PSBA (check all that apply). *

I am a current PSBA Alliance Partner
I am registered to exhibit at the next annual PASA-PSBA School Leadership Conference
I am a Bulletin advertiser
I don't have a partnership with PSBA at this time

Have you previously served on PSBA's Alliance Partner Advisory Council? *

Yes
No

Briefly state why you are interested in being a member of the council. *

What type of services/products does your company provide to Pennsylvania's public schools? *

The current Alliance Partner Advisory Council will review all interest forms and vote on new members at the annual January meeting. New council members are determined based on the number of seats available each year. You will receive notice of the council’s vote. If you have any additional questions or concerns, please contact Megan Orehek, PSBA’s senior director of marketing and communications, at megan.orehek@PSBA.org or (717) 506-2450, ext. 3500. *

I acknowledge that by checking this box I have read the above paragraph about the submission and review of my interest form by the current Alliance Partner Advisory Council.