F-8 New York City Administration for Children’s Services

Division of Early Care and Education Delegate Agency Site Parent Committee

Election Report FormDelegate Agency _______________________________ Date ____________________Site Address: ________________________________ Tel: _________________________Site Director___________________________ E-Mail: ______________________________Parent Election Coordinator_________________________ Tel______________________E-Mail ____________________________________________________________________

Results: Conducted Not Conducted If not, why? __________________________________________________________________________________________________________________________________________________

Check Item(s) Reviewed: By-Laws Election Minutes Class Minutes Center Orientation

# of Sites ____ # of Representatives per Classroom _____ # of Voting Members ___________

Total number of representatives to the Delegate Agency Policy Committee/Council_______

Was there a Quorum? Yes No

Number of voting members present ______ Were all motions seconded? Yes No

Officers:

Chairperson _______________________Telephone____________ E-Mail_____________

Address ____________________________________________________________________

Vice Chairperson____________________ Telephone___________ E-Mail________________

Address __________________________________________________________________

Secretary Name ___________________________________________________________

Treasurer Name ____________________________________________________________

Personnel Practices Chairperson Name __________________________________________

Grievance Chairperson Name _________________________________________________

By-Laws Chairperson Name __________________________________________________

Parent Election Coordinator’s Signature: ___________________ Date: _________