Caucus Modification Caucus Modification Request Form If your caucus has decided to modify its name and/or purpose and scope, this is the place to make that request. Before making your modification request, poll caucus members to vote on the change. The majority of those votes received should be in favor. Please complete the form below demonstrating that your caucus’ decision to modify its name and/ or purpose and scope meet the following requirements listed in the MLA Board Policies Governing Caucuses and Community Council: Name modification (Policies section 5.14.2) Purpose and Scope (Policies section 5.14.1) Your request will be reviewed by the Community Council’s Caucus Governance Committee. You should expect an answer regarding your request within 2 weeks.Caucus Requesting ModificationYour name and caucus roleThe purpose of this request Name modification Purpose and scope modification Reason for requested changeWhat process did your caucus use to conclude that this change was needed? (e.g. poll, survey, discussion)Proposed changed name of caucus (if applicable):Proposed changed purpose of caucus (if applicable):Proposed changed scope of caucus (if applicable):Please check boxes to confirm all that apply Caucus proposed purpose meets the requirement as stated in Policies…(section 5.14.1.) Caucus proposed scope meets the requirement as stated in Policies…(section 5.14.1.) Caucus proposed name meets the requirements as stated in Policies…(section 5.14.2.) The majority of the votes received were in favor of the modification.