2008 Delegate Report Form

Delegate Assembly will be held April 25-26, at the Cornhusker Marriott Hotel in Lincoln.

Use the form below to report your delegate(s) for the 2008 Delegate Assembly.

Local Association:*

NSEA District:

select one

Capitol
Elkhorn
Metro
Panhandle
Sandhills
Tri Valley

Number of Delegates:

Delegate #1:

(Name, Address, City, Zip)

Delegate #1 email:

Delegate #2:

(Name, Address, City, Zip)

Delegate #2 email:

Delegate #3:

(Name, Address, City, Zip)

Delegate #3 email:

Delegate #4:

(Name, Address, City, Zip)

Delegate #4 email:

Delegate #5:

(Name, Address, City, Zip)

Delegate #5 email:

Delegate #6:

Delegate #6 email:

Alternate:

(Name, Address, City, Zip)

Alternate #1 email:

Alternate:

(Name, Address, City, Zip)

Alternate #2 email:

Submitted by:*

Local President

Your email:*

Date:

By clicking SUBMIT, you affirm that the above named delegate(s) have been selected to represent your local association at the 2008 Delegate Assembly.

Note: Fields marked by an asterisk (*) are required.