F-6 New York City Adminstration for Children’s Services Division of Early Care and Education Delegate Agency Site Parent Committee Representatives to the Delegate Agency Policy Committee/Council Multi-Site Agency Only Delegate Agency Date __ Site Address ___________________________________________________________________ Site Director ___________________Tel: ________________ Email: _______________ Parent Election Coordinator ________________ Tel: ___________________ Email: _________ Lists all elected Delegate Agency Site Parent Committee Members and check only those eligible to sit on the Delegate Agency Policy Committee/Council Name Home Telephone [ ] Home Mailing Address Apt. # Zip Code Name Home Telephone [ ] Home Mailing Address Apt. # Zip Code Name Home Telephone [ ] Home Mailing Address Apt. # Zip Code Name Home Telephone [ ] Home Mailing Address Apt. # Zip Code Name Home Telephone [ ] Home Mailing Address Apt. # Zip Code Name Home Telephone [ ] Home Mailing Address Apt. # Zip Code Name Home Telephone [ ] Home Mailing Address Apt. # Zip Code Instructions: Place a check () next to each Delegate Agency Site Parent Committee Representative eligible, as per your DAPC By-Laws, to sit for the Delegate Agency Policy Committee elections. Remember to invite your Classroom Alternates of the Delegate Agency Parent Committee election to vote in place of Classroom Representatives that cannot attend the election.
F-6 New York City Adminstration for Children’s Services Division of Early Care and Education Delegate Agency Site Parent Committee Representatives to the Delegate Agency Policy Committee/Council Multi-Site Agency Only Delegate Agency Date __ Site Address ___________________________________________________________________ Site Director ___________________Tel: ________________ Email: _______________ Parent Election Coordinator ________________ Tel: ___________________ Email: _________ Lists all elected Delegate Agency Site Parent Committee Members and check only those eligible to sit on the Delegate Agency Policy Committee/Council [ ] Name Home Telephone Home Mailing Address Apt. # Zip Code [ ] Name Home Telephone Home Mailing Address Apt. # Zip Code [ ] Name Home Telephone Home Mailing Address Apt. # Zip Code [ ] Name Home Telephone Home Mailing Address Apt. # Zip Code [ ] Name Home Telephone Home Mailing Address Apt. # Zip Code [ ] Name Home Telephone Home Mailing Address Apt. # Zip Code [ ] Name Home Telephone Home Mailing Address Apt. # Zip Code Instructions: Place a check () next to each Delegate Agency Site Parent Committee Representative eligible, as per your DAPC By-Laws, to sit for the Delegate Agency Policy Committee elections. Remember to invite your Classroom Alternates of the Delegate Agency Parent Committee election to vote in place of Classroom Representatives that cannot attend the election.