2021 Representative Assembly Delegate Report Form

2021 RA Delegate Report Form

Refer to the Delegate Allocation Form for your local association membership and allocated delegates and alternates. This is based on your January 15, 2020, local association membership.
Questions and comments should be directed to Sarah Meyer: sarah.meyer@knea.org or 785-232-8271

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Local Association *
Please type full name of the association with no initials.
UniServ District *
Membership Count *
From 1-15-2020 - on Allocation Form.
# of Allocated Delegates *
From Allocation Form
Delegates
Alternates
Form Submitted by -
Name *
First & Last Name
Local Association Position *
Email Address *
Should be Empty:

2021 RA Delegate Report Form