NSEA One-to-One Conversations
YOUR
First Name
YOUR
Last Name
Enter the
INFORMATION FOR THE INDIVIDUAL
you had a one-to-one conversation with.
First Name:
Last Name:
Employer:
Worksite:
Position:
Cell Phone (if known):
E-Mail (Personal)
E-Mail (Work)
Assessment of Membership (select one):
Member
Plans on Joining
Undecided on Membership
Anti-Union/Will Not Become Member
Primary motivations for Joining (select one):
Advocacy Support
A Sense of Belonging
Political Action
Liability Insurance
Leadership Development
NEA Member Benefits (ex. group life insurance)
Other
Please describe "other" reasons
What are this person's natural leadership skills? (select as many that apply):
INTEGRITY
Demonstrates ethical, consistent behavior that earns credibility and trust.
STRATEGIC THINKING
Anticipates challenges and opportunities to guide effective decision-making.
COMMUNICATION
Conveys clear, accurate, and timely information that builds trust and alignment.
ADVOCACY
Consistently advances member rights and interests through informed, strategic action.
EMOTIONAL INTELLIGENCE
Manages emotions effectively and responds appropriately to others to strengthen relationships and leadership effectiveness.
OTHER:
OTHER LEADERSHIP SKILLS:
Who does this person view as a natural leader and someone they feel comfortable turning to for advice or support?
What was discussed?
What is the follow-up plan with this person?
Additional Comments