Elected Officials Academy Enrollment Form

Allows the Academy to track your credits and progress through the award levels.

Allows the Academy to automatically issue credit for your attendance at League educational programs and major meetings.

Allows you to use the EOA website to submit non-League activities for credit
(subject to approval).

KY - Elected Officials Academy Enrollment Form

Name

First Name

Last Name

Title

Municipality

Home Address

City

State/Province

Zip/Postal

Daytime Phone

Evening Phone

Fax

Email Address

Date First Elected

Length of Terms in Office

# of Terms Served

Were Terms Served Continuously?

Yes

Hometown media sources (including addresses) for press release purposes:

Newspaper

Radio

Television

Sponsor

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Contact: Emily Kieliszewski, Assistant Director, Member Experience & Learning
Email: [email protected] or Phone: 517-908-0302

Education & Events