Your Trustee Agenda Resource
Administrator Log In  

Trustee Information Details

To advise the ISO regarding Trustee information for inclusion in the Confidential Trustee Listing or any changes to existing information regarding a current Trustee, please complete the following form below.

The only people permitted to complete this form are:
1) - The Trustee directly
2) - Any current Trustee from the area in questions
3) - Any past Trustee from the area in question
4) - The current Chair of the Trustee's Intergroup

All fields must be filled in or the information will be rejected. If a field does not apply, please insert N/A into the field. When you have reviewed your information for completion and accuracy, click the button at the bottom of this form to submit.

The form is currently unavailable.

Please send an email with the below information to

Please include the following information:

Trustee First Name:
Trustee Last Name:
Zip/Postal Code:
Spouse or Partner (Optional):
Cell Phone:
Home Phone:
Abstinence Date (MM/DD/YY):
Email address for confirmation of submission:
Who Is Filling In This Form (Name And Title):
Phone Number If You Are Not The Trustee:
Explain The Purpose Of This Notification:

If you do not get a confirmation of this item being received within 5 business days, please click the 'Contact Administrator' link in the Main Menu in the top section of the left margin.