Proxy Form
2021 CAEP Fall General Meeting Elections
Name:
First Name
Last Name
Community/Organization:
I am the:
Municipal Representative
Business Representative
Associate Representative
I am unable to attend the CAEP Fall General Meeting on December 1, 2021, and therefore assign my proxy ballot to:
CAEP Chair
Another representative from my community/organization
Proxy:
First Name
Last Name
Title
Email
CAEP Representative Signature
Submit
Should be Empty: