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Active Member Information Survey 2019/20

The purpose of this survey is to provide additional information to our Active Members for contract negotiations according to Title 6A:23A-3.1. We ask that you complete the membership information survey below no later than Friday, September 27, 2019, using current (2019-2020) salary and other information.
1.First Name(Required.)
2.Last Name (Required.)
3.Title - Please Select one of the following:(Required.)
4.Please insert your email address (Required.)
5.Please insert your Office Telephone Number (ex. 609-689-3870)(Required.)
6.Please insert your District Name(Required.)
7.Please select the county in which your district is located - CHECK ONE (Required.)
8.Type of District - CHECK ONE (Required.)
9.Total Number of Resident Enrollment Students (Required.)
10.Total Fund 10 Budget (Do not use dollar sign, commas, or decimals)(Required.)
11.Enter your 2019-2020 Base Salary (Do not use dollar sign, commas, or decimals)(Required.)
12.Enter Longevity Amount (Do not use dollar sign, commas, or decimals)
13.If you receive Merit Pay, please indicate amount and 6 word description (ex: 1500 Safety Committee)
14.Do you provide Shared Services(Required.)
15.If yes to above question, please indicate the amount you are receiving.  
16.Total number of years as a  School Business Administrator/Assistant Superintendent (Required.)
17.Total number of years in current district(Required.)
18.Please indicate Highest Educational Degree - CHECK ONE (Required.)
19.Are you a CPA?(Required.)
20.Professional Registrations - check all that apply
Current Progress,
0 of 20 answered