LCEA Report Issues Form
This form is for LCEA members to report information to LCEA Leadership
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Current Status *
First Name *
Last Name *
School/worksite *
Non-Work Email *
Personal Phone number
Questions, comments, or concerns etc.? *
Is this issue or concern happening to anyone else? *
Are you comfortable sharing this information with your building representative? *
Do you need assistance in contacting your building representative? *
Are you receiving the emails from LCEA currently (LCEA Connects & Newsletters)? *
Are you a member of the private LCEA Facebook group? www.facebook.com/groups/lakecea/ 
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How are you getting information about LCEA  (you may check more than one)?
Are you interested in being more involved in LCEA?
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