Voter Education, Registration and Action (VERA) 2012 Report Form

Thank you for taking the time to report your VERA results! Please fill in something in each box, even a zero or N/A.

Voter Education, Registration, and Action 2012 Campaign (VERA 2012) is a non-partisan effort aimed at adult literacy learners and program staff in the New England states. Its goal is to educate adult learners about voting and the topical electoral issues, and mobilize them to vote in the 2012 elections. VERA is sponsored by the New England Literacy Resource Center (NELRC) at World Education.

Question Title

* 1. PROGRAM INFORMATION

Program name:

Address:

City:

State:

Zip code:

Person completing this form:

Title:

Email:

Phone:

Fax: