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SCHOOL SITE COUNCIL SIGNATURES
Principal
Classroom
Teacher
Other
School
Staff
Parent
Student
(MS/HS)
Only
Term
Exp.
Date
[X] [ ] [ ] [ ] [ ] Mark Atkins
[ ] [X] [ ] [ ] [ ] 2013 Kim Maneval
[ ] [ ] [X] [ ] [ ] 2013 Susan Lingner
[ ] [X] [ ] [ ] [ ] 2015 Roberta Bollish
[ ] [ ] [ ] [X] [ ] 2015 Janice Lutz
[ ] [ ] [ ] [X] [ ] 2013 Michelle Furtado
[ ] [ ] [ ] [X] [ ] 2013 KC Hellenkamp
[ ] [ ] [ ] [X] [ ] 2015 Lisa Naritomi
[ ] [X] [ ] [ ] [ ] 2013 Jessica Leahy
[ ] [ ] [ ] [X] [ ] 2013 Heidi Hall
Name
Signature
1 3 1 5 TOTALS (total of columns 1-3 must be equal to the total of columns 4 and 5)
Signature
Date
This SPSA was approved and adopted by the School Site Council on 01/9/13.
The signature of the Principal verifies that:
• Information regarding school-based programs has been provided to site advisory committees or representatives.
• All interested persons had the opportunity to meet to establish the SSC.
• The SSC had the opportunity to decide whether the school would participate in a SBCP.
• Funds have been coordinated, and supplement, but do not supplant, existing state and local fiscal efforts.
The signature of each members of the SSC verifies that:
• He/She has reviewed and affirmed the above listed assurances.
The signature of each Advisory Committee Chairperson/Representative indicates that:
• The represented group has been sought out, and has had the opportunity to provide input for the SBCP and related expenditures.
The Single Plan for Student Achievement 28 of 33 1/29/13