Top

KENTUCKY EDUCATION ASSOCIATION

Uniting, Organizing, Empowering Members



| PRINT MEMBERSHIP CARD |
Contact

KEA Local Officer Reporting Form


Local Association:
Term Begins:
Term Ends:



President:
Type:
New
Ongoing
 
Address:
City:
State:
Zip:
 
Home Phone:
Cell Phone:
Email:
 
School Address:
City:
State:
Zip:
 
Phone:
Fax:



Vice President/President Elect:
Type:
New
Ongoing
 
Address:
City:
State:
Zip:
 
Home Phone:
Cell Phone:
Email:
 
School Address:
City:
State:
Zip:
 
Phone:
Fax:



Secretary:
Type:
New
Ongoing
 
Address:
City:
State:
Zip:
 
Home Phone:
Cell Phone:
Email:
 
School Address:
City:
State:
Zip:
 
Phone:
Fax:



Treasurer:
Type:
New
Ongoing
 
Address:
City:
State:
Zip:
 
Home Phone:
Cell Phone:
Email:
 
School Address:
City:
State:
Zip:
 
Phone:
Fax:



Signature:
Date: