Building Election Report Form

Please use this form to report on the results of the rep elections in your building.

Reporting Information

School: *

The name of the school for which the election was held.

Entered By: *

Your name, in case we have to contact you regarding the election.

Elected Head Rep

Head Rep Name:

Head Rep Address:

The rep's mailing address. For example: 344 NE 7th Ave, Portland, OR 97225

Head Rep Home Email:

The representative's primary non-PPS email address.

Head Rep Phone:

A 10-digit phone number where this representative can be reached.

Additional Representatives

Use the forms below to record up to 6 more representatives from your building.

Additional Representative

Rep Name:

Rep Address:

The representatives's mailing address. For example: 344 NE 7th Ave, Portland, OR 97225

Rep Home Email:

The representative's primary non-PPS email address.

Rep Phone:

A 10-digit phone number where this representative can be reached.

Additional Representative

Rep Name:

Rep Address:

The representatives's mailing address. For example: 344 NE 7th Ave, Portland, OR 97225

Rep Home Email:

The representative's primary non-PPS email address.

Rep Phone:

A 10-digit phone number where this representative can be reached.

Additional Representative

Rep Name:

Rep Address:

The representatives's mailing address. For example: 344 NE 7th Ave, Portland, OR 97225

Rep Home Email:

The representative's primary non-PPS email address.

Rep Phone:

A 10-digit phone number where this representative can be reached.

Additional Representative

Rep Name:

Rep Address:

The representatives's mailing address. For example: 344 NE 7th Ave, Portland, OR 97225

Rep Home Email:

The representative's primary non-PPS email address.

Rep Phone:

A 10-digit phone number where this representative can be reached.

Additional Representative

Rep Name:

Rep Address:

The representatives's mailing address. For example: 344 NE 7th Ave, Portland, OR 97225

Rep Home Email:

The representative's primary non-PPS email address.

Rep Phone:

A 10-digit phone number where this representative can be reached.

Additional Representative

Rep Name:

Rep Address:

The representatives's mailing address. For example: 344 NE 7th Ave, Portland, OR 97225

Rep Home Email:

The representative's primary non-PPS email address.

Rep Phone:

A 10-digit phone number where this representative can be reached.

Comments:

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Fri, 2009-07-24 20:47 — rkolinsky

This form is very helpful

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