Orchard Park High School
Shared Decision Making Committees
 Parent Input Form
OPHS SDM committees consist of school administrators, teachers, parents and community members who meet monthly to discuss high school policies, curriculum and event planning. 
Item of Concern/Interest/Issue: 
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

Background of the issue (what has been done). Check all that apply: 
Spoke with: rTeacher____________	rCounselor_____________	rAdministrator_______________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________	
Your recommendations for solution/outcome:
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Name (required): ______________________________________ Date: ___________________________

rIndividual Concern	_________________	rGroup Concern _______________________________
To be completed following the meeting: 

Action (summary): _______________________________________________________________
____________________________________________________________________________________ ____________________________________________________________________________________
After completing this form, please return it to the OPHS Main Office.