Substitute Meeting Attendance Form
for Distinguished Membership Points

We recognize that KDP: Tau Epsilon Chapter is not the only organization that provides meetings for its members. Nor could it possibly manage to cover all of the hot topics facing educators today. We want to commend you, and award you distinguished membership points, for your involvement with other professional education organizations. In order to receive credit for your outside event involvement you must document the items found in the form below. Once your attendance is complete please fill out this form and submit it for credit. The Membership Chairperson will follow-up with you once the submission is received and processed.

KDP Member Information
1. Your Name:
        (first and last)
2. Your E-mail*:
        *must enter this field to successfully submit this form
3. Your Member #:
        (if known)

Meeting Information
4. Place where meeting occurred:
5. Date & Time meeting occurred:
6. Name of sponsoring organization:
7. Topic of this meeting:
8. Featured speaker at this meeting:
9. Total attendance at this meeting:

10. Overview of meeting business:

11. Overview of meeting topic:


12. Describe the most beneficial aspect of attending this meeting:

13. Describe the least beneficial aspect of attending this meeting:


Event Verification
In order to complete the submission process we must be able to verify
your attendance at the meeting. Please provide the following information
for us to contact the event coordinator who can confirm your answers
in questions 4-9 above.
14. Name of meeting coordinator:
15. E-mail of meeting coordinator:
16. Phone # of meeting coordinator: