Elections Virtual Meeting Attendance Form

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Please complete ALL fields below to record attendance for virtual meeting participation. Once submitted, you will receive confirmation here as well as by email that your submission was received.

Meeting Attended

Precinct Where You Work

Position Worked

First Name

Last Name

Email Address

Phone Number

Street Number and Name

Unit Number

City/Town

State/Province

ZIP/Postal Code

I Agree

By submitting this information, I attest that I personally attended the Live Virtual Instructional Meeting session conducted by Charlie Collicutt, Director of Guilford County Elections, on Wednesday, October 28, at 5:30 p.m.

I also attest that I have not previously submitted a timesheet or other payment request for this same meeting. I further understand I may attend or view additional sessions for my own information; however, I will receive payment for attending only one Instructional Meeting.

I understand that knowingly providing false information on this form may result in nonpayment for this meeting and/or disqualification from future service.

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