2017-2018 Halifax County Rep Information
Please fill out the following information if you are a Halifax County Rep or Alternate. The information supplied on this form is for the sole purpose of enabling the NSTU to communicate information directly to the business of the NSTU and of interest to teachers. This information will not be shared with any person or organization.

See you at our first Local Meeting on September 20th at the Legion in Lower Sackville. 6:00 for a 6:30 start.

Name
Your answer
Professional # (not your HRSB 400 number)
Your answer
Rep or Alternate
Required
How many years have you served the local? (Rep, alternate, committee member?)
Your answer
NSTU e-mail address
Your answer
Another e-mail address just in case (not HRSB, ednet, GNSPES)
Your answer
School/site
Your answer
Family of Schools
Your answer
Home Mailing Address
Your answer
Birthdate
MM
/
DD
Home Phone Number
Your answer
Cell Phone Number
Your answer
Dietary concerns (for food served at meetings)
Your answer
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