Community Outreach Member Survey

As part of our efforts to build support for public education and to strengthen our relationships with our community stakeholders, USEP needs your help to create a Community Outreach Network.

We are developing a list of individuals and organizations to contact so that we can discuss our common concerns and ways to work together to support public education. Please take a few minutes to suggest people and organizations that you are familiar with or belong to. Also, let us know if you are available to help contact the organization/individual or attend the meeting.

Your Name First Last
School/Worksite
Best Phone Number to Contact You - (###) - ### ####
Email Address
1) Name of Organization or Individual

Organizations include PTA/PTO, service organizations, fraternal organizations, senior citizen groups, faith groups, business groups, labor.

Individuals include labor leaders, elected officials, business owners, faith leaders, members of the media, community activists.
1) Telephone Number - (###) - ### ####
1) Email
1) I'll help
2) Name of Organization or Individual

Organizations include PTA/PTO, service organizations, fraternal organizations, senior citizen groups, faith groups, business groups, labor.

Individuals include labor leaders, elected officials, business owners, faith leaders, members of the media, community activists.
2) Telephone Number - (###) - ### ####
2) Email
2) I'll help
3) Name of Organization or Individual

Organizations include PTA/PTO, service organizations, fraternal organizations, senior citizen groups, faith groups, business groups, labor.

Individuals include labor leaders, elected officials, business owners, faith leaders, members of the media, community activists.
3) Telephone Number - (###) - ### ####
3) Email
3) I'll help
4) Name of Organization or Individual

Organizations include PTA/PTO, service organizations, fraternal organizations, senior citizen groups, faith groups, business groups, labor.

Individuals include labor leaders, elected officials, business owners, faith leaders, members of the media, community activists.
4) Telephone Number - (###) - ### ####
4) Email
4) I'll help
Comments/Additional Information