APPLE Team Application Form

Please let us know why your District Team wants to participate in our APPLE Institute this year!

School District Name:

SEPAC Name:	SEPAC Email Address:	SEPAC Website:

ELPAC Name:	ELPAC Email Address:	ELPAC Website:

Number of Team Members: We require a minimum of 5 members – 2 District members, 1 SEPAC member, 1 additional Parent member and 1 Community member

District Team Members (School Adminstrator, Family Engagement Specialist, Team Chair or Educator)

School District Representative #1	Email for District Representative:

School District Representative #2	Email for District Representative:

Parent Team Members (SEPAC, ELPAC and PTO members)

Parent Member #1

Name:	Role:	Phone:	Email:

Team Member #2

Name:	Role:	Phone:	Email:

Team Member #3

Name:	Title:	Phone:	Email:

Community Team Members (School Committee, Site Council member or other community partner)

Team Member

Name:	Role:	Phone:	Email:

Do you need to add additional team members?

Yes
No

Additional Team Member

Name:	Role:	Phone:	Email:

Letter of Commitment

Max. file size: 7 MB.

Please uplaod a District Letter of Commitment, dated and signed by your Superintendent. If you do not have a letter prepared at this time, you may still submit your application through this webpage. A staff member will follow up.

APPLE Team Application Form

APPLE Institute – Spring 2023