School Climate Cadre Registration Form

Name of School: _________________________

Principal: ___________________________ Contact No: ___________

Identify Role
Position (ie, contact person,
No. Name of Faculty/Staff (ie. Teacher, student, facilitator, minute taker,
parent, school aide, etc.) data analyst, time keeper,
alternates, member)
1.

2.
3.
4.
5.
6.
7.
8.
9.
10
.
11
.
12
.
13
.
14
.
15
.
Signature of Principal: __________________________________________________________________

Date: _____________________________________________