Appointment or Assistance Request Form

KCEA Assistance or Appointment Request Form

Cell phone number *
What is your primary work location/school? *
Are you a current member of KCEA? * Yes No I am not sure
Are you requesting representation from KCEA in a meeting with your administration or central office? If so, please use the space below to tell us details of the meeting (when/where) and what you believe the meeting is about. Generally, we are not allowed to attend evaluation meetings or meetings regarding a student's IEP.
Are you requesting information on an employment issue? If so, please give us an idea of what you need.
Anything else we should know?

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Appointment or Assistance Request Form

Please complete this form to request assistance (representation in a meeting with administration) or an appointment (phone conversation or virtual meeting) from KCEA.

Be sure to respond to all of the questions on the form. It is important that you identify your primary work location and be specific so that we can direct your request to the appropriate staff person for assistance.

Thank you!

Disclaimer: Although we are designated representatives for members on behalf of KCEA, this form is not a privileged conversation protected by attorney/client privilege.

KCEA Assistance or Appointment Request Form

Appointment or Assistance Request Form

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