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2022 AGM Group Voting Authorization Form

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Weds, February 27th, 2019 at 5PM EST

At the Annual General Meeting, resolutions may be voted on by Individual Voting Members and by one designated delegate from each registered AIUSA Student or Local Group.

Group voting cards are available to AIUSA chartered groups that have renewed their status with the organization, by completing the annual Local Group Census. To obtain a Group Voting Card at the AGM, the Group Coordinator/Chair must submit a completed copy of this authorization. The recommended deadline is Wednesday, February 27th (the Weds before the AGM). The purpose of this form is to indicate who the authorized Group delegate will be at the AGM. You will be asked to also indicate 2 back-up delegates in the event that the Group delegate is unable to pick-up the card. At the AGM, the Group delegate should report to the personnel at the Member Services table. As Group delegate, you will be asked to sign your name in order to receive the group voting card.

Please discuss the resolutions with your group before the conference. The Resolutions to be considered at the AGM will be found on the Member Center prior to the conference.

What type of Group are you submitting this form for?*
- Student Group
- Local Group
What is the name and number of your Group?*
City:*
State:*
Group Coordinator/Chair Name:*
First Last
As the Group Coordinator/Chair, you are responsible for completing this form.
Group Coordinator/Chair Phone Number:*
Group Coordinator/Chair Email:*
Group Delegate Name:*
First Last
Please provide the name of the person who will be responsible for checking in at the Member Services table at the RC and will receive the Group voting card. This does not necessarily have to be the Group Coordinator/Chair.
Group Delegate Phone Number:*
Group Delegate Email:*
Back-up to Group Delegate Name:
First Last
Should the Group Delegate be unable to pick-up the Group voting card, this person will also be permitted to pick-up the card on behalf of the Group.
Back-up to Group Delegate Phone Number:
2nd Back-up to Group Delegate Name:
First Last
Should the Group Delegate and the Back-up to the Group Delegate be unable to pick-up the Group voting card, this person will also be permitted to pick-up the card on behalf of the Group.
2nd Back-up to Group Delegate Phone Number:
Has the Group discussed the resolutions?*
- All
- Some
- None
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