ANNUAL SCHOOL BOARD MEMBERSHIP REPORT
After each year’s February elections and no later than March 15, each local school district superintendent must submit a completed Annual School Board Membership Report to the Accreditation Division of the Oklahoma State Department of
Education. Superintendents should also submit this report any time there is a change in their local board membership such as a resignation or newly appointed member. If a school board seat run-off election is required, the membership report is due by April 30.
*Annual Report is due by March 15
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If additional information is needed about School Boards call (405) 521-3333.
School year _____ - _____ Elections held on _____/_____, 20_____
Check applicable box:
*Annual Report or
Update due to Member Appointed on _____/_____, 20_____ or
Special Election held _____/_____, 20_____
A reorganization meeting must be held at the first regular, special or emergency board meeting following the annual election and certification of election of new members (Section 77, School Laws of Oklahoma).
ALL current district school board members must be included on this form. The information provided on this form is considered public information.
Fill in all columns and send to the address above.
Position
Name
Address, State, and Zip Code
Seat
No.
Year
Appointed
or Elected
Year
Term
Expires
Re-elected
(X)
Continuing
(X)
Appointed
(X)
Elected After
Appointed
(X)
Name of Board
Member Replaced
President
Vice
President
Clerk
Member
Member
Member
Member
Member
Member
Member
Treasurer
***PLEASE FILL OUT THE INFORMATION BELOW IN CASE WE NEED TO CONTACT YOU
Contact Name:
Phone:
E-mail:
Date Form Completed:
/ /
Please send report to:
OKLAHOMA STATE DEPARTMENT OF
EDUCATION
2500 North Lincoln Boulevard
Accreditation, Suite 210
Oklahoma City, Oklahoma 73105-4599
Fax: (405) 522-1519
School District Name:
County:
Reporting Official: