California Educator

DECEMBER 10 / JANUARY 11

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Declaration of Candidacy For State Delegate to the 2011 NEA Convention in Chicago, IL _____________________________________________ ( _____________________________________________ ( Name Address City, Zip Day phone Home phone _____________________________________________ ______________________________________ _____________________________________________ I am a member of: CTA E-mail Social Security Number Gender: M F NEA __________________________________________ Chapter Category: NEA Active (Non-Supervisory) Member (incuding Education Support Professionals) Send directly to your Service Center Council (see addresses on facing page). Higher Education Member (eligible to be in bargaining unit) Send to Community College Association, 4100 Truxel Rd., Sacramento, CA 95834. CTA/NEA-R Member (must be member of NEA-Retired) Send to CTA, P.O. Box 4156, Burlingame, CA 94011-4156. Student NEA Send to Student CTA Office, CTA, P.O. Box 921, Burlingame, CA 94011-0921. Ethnic Grouping, Other Information: I am: American Indian/Alaska Native African American Asian Caucasian Hispanic I am a candidate for a local delegate position also. Yes Native Hawaiian/Pacific Islander No If yes and I am elected to both state and local delegate positions, please check one: I will be a state delegate. I will be a local delegate. I will inform the Service Center Council of my choice. _______________________________________ _________________________________ Name Service Center Council Please give a brief biographical sketch of no more than 25 words. (If more words are used, the information that accompanies ballots will include only the first 25 words.) If you wish your ethnic grouping to be listed, this will not count as part of the 25-word limitation. ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ________________________________________________________________________________ ___________________________________________________ Signed THIS FORM MUST BE FILED NO LATER THAN 5 p.m. on Jan. 31, 2011, at the office listed above. Candidates are urged to return this form by certified mail in order to get a receipt and ensure compli- ance with the deadline. It is the responsibility of the candidate to ensure that this document is re- ceived by the due date and time. ) ______________________________ ) ______________________________ Duties of delegates to Rep Assembly in Chicago 1. Each delegate will be ex - pected to arrive in Chicago in time to ensure registering as an of ficial delegate to the Representa- tive As sembly (RA) with both the Cal i fornia delegation and NEA. 2. Each delegate will be ex pected to attend all caucuses of the California delegation. Normally, the caucus begins at 7 a.m. daily. Del e gates must be registered with the California del- egation to participate in the caucus. Delegates are expected to remain through the convention. 3. Each delegate shall at tend all business meetings of the RA. 4. Each delegate is strongly encouraged to attend NEA budget committee hearings, resolutions committee hearings, bylaw commit- tee hearings, speeches by prom inent national figures, etc. 5. Each delegate should take into consideration CTA State Coun- cil and caucus pol icy when voting. 6. Each delegate is encouraged to participate fully in all activities of the California del egation. 7. Each delegate — state and local — will be ex pected to sit with his or her Service Center Council delegation on the RA floor or to inform the appropriate person where he or she will be seated. This is to ensure com munication regard- ing RA bus iness and/or per sonal emer gency information of concern to the delegate, as well as to verify at tendance. I understand that, as a state delegate, my attendance is being di rectly funded, at least partially, by membership dues. I accept my re - sponsibility to carry out the above specified duties. ______________________________ ______________________________ Date Signature DECEMBER 2010 • JANUARY 2011 | www.cta.org 37

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