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NAME:
EMPLOYEE NUMBER:
LOCATION:
UTLA-AREA: SITE TYPE:
CHAPTER CHAIR: CO-CHAIR: VICE CHAIR: OTHER:
Event  
Please select one of the options in the dropdown menu that describes your event.
Event Date  

HELD A CHAPTER MEETING

YES NO
 

Number of UTLA members

(type in result)

outof total members
Describe the overall sentiment at your school site about this event  
 
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