2019 VESB (Voting Entity Service Bo...

Voting Entity Name (EX. State or Country)

VESB or Intergroup?

Select

VE - Mailing Address

VE - Phone Number

VE Email Address

VE Website

Delegate - Choose 1

Select

Delegate #1 - Name

Delegate #1 - Mailing Address

Delegate #1 - Phone Number

Delegate #1 - Email Address

Delegate #1 - Buddy System?

Select

Delegate #1 - Language(s) spoken?

Delegate #2 - Name

Delegate #2 - Mailing Address

Delegate #2 - Phone Number

Delegate #2 - Email Address

Delegate #2 - Buddy System?

Select

Delegate #2 - Language(s) spoken?

Alternate Delegate #1 - Name

Alternate Delegate #1 - Mailing Address

Alternate Delegate #1 - Phone Number

Alternate Delegate #1 - Email Address

Alternate #1 - Buddy System?

Select

Alternate #1 - Language(s) spoken?

Alternate Delegate #2 - Name

Alternate Delegate #2 - Mailing Address

Alternate Delegate #2 - Phone Number

Alternate Delegate #2 - Email Address

Alternate #2 - Buddy System?

Select

Alternate #2 - Language(s) spoken?

Voting Entity Service Board (VESB) or Intergroup?

How often does your VESB or Intergroup meet?

Select

VESB/Intergroup primary language(s)?

Describe how your VE elected or appointed

VE/Intergroup, how many meetings represented?

Provide minutes of meeting, Delegate elected.

Name & position of person filling out this form

Delegate Buddy volunteer?

Select

Send me a copy of my responses

Powered by

Privacy Notice|Report Abuse