Return to:
Return to: ORIGINAL
Ohio School Boards Association Return no later than:
8050 N. High St., Suite 100 Oct. 9, 2020
Columbus, Ohio 43235-6482
(614) 540-4000
The _____________________________________________________________ School District
Board of Education of _______________________________________________ County hereby
appoints __________________________________________________ as the delegate to
(name of delegate)
the 2020 OSBA Annual Business Meeting and in the event the delegate cannot serve,
____________________________________________________ has been appointed as
(name of alternate)
alternate. The delegate and alternate were appointed at the meeting of the board of education on
_________________________________.
(date)
SIGNATURES MUST BE ON ALL COPIES TREASURER’S CERTIFICATION
_______________________________________ _______________________________
Signature of delegate Signature of treasurer
____________________________________ _____________________________
Home address (Please print this line) School district
____________________________________ _____________________________
Email address for delegate County
____________________________________ _____________________________
Cell phone number for delegate District address
____________________________________ _____________________________
Signature of alternate Email address for treasurer
____________________________________ _____________________________
Home address (Please print this line) Cell phone number for treasurer
____________________________________
Email address for alternate
____________________________________
Cell phone number for alternate
Return to: TREASURER’S COPY
Ohio School Boards Association RETAIN FOR YOUR
8050 N. High St., Suite 100 RECORDS
Columbus, Ohio 43235-6482
(614) 540-4000
The______________________________________________________________ School District
Board of Education of _______________________________________________ County hereby
appoints __________________________________________________ as the delegate to
(name of delegate)
the 2020 OSBA Annual Business Meeting and in the event the delegate cannot serve,
____________________________________________________ has been appointed as
(name of alternate)
alternate. The delegate and alternate were appointed at the meeting of the board of education on
_________________________________.
(date)
SIGNATURES MUST BE ON ALL COPIES TREASURER’S CERTIFICATION
_______________________________________ _______________________________
Signature of delegate Signature of treasurer
____________________________________ _____________________________
Home address (Please print this line) School district
____________________________________ _____________________________
Email address for delegate County
____________________________________ _____________________________
Cell phone number for delegate District address
____________________________________ _____________________________
Signature of alternate Email address for treasurer
____________________________________ _____________________________
Home address (Please print this line) Cell phone number for treasurer
____________________________________
Email address for alternate
____________________________________
Cell phone number for alternate
................
................
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