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A S S O C I AT I O N G OV E R NA N C E Arizona Education Association (AEA) Board of Directors' Nomination Form Candidate ______________________________________________________________________________________________ Address ___________________________________________ City ___________________ State ______ ZIP ________ Local Association ____________________________________ Home Email _____________________________________ Telephone (H) _____________________________________________ (W) _____________________________________ For the 2012 Board of Directors' election, please review page 31 for open positions. Candidate for the office of: NEA State Director NEA Alternate State Director AEA Regional Director, Region ______ AEA Alternate Regional Director, Region _______ AEA Ethnic Minority At-Large Director AEA Alternate Ethnic Minority At-Large Director AEA Education Support Professional At-Large Director Candidates may submit a campaign statement not to exceed 250 words. In all campaign statements, the articles "a," "an," "to," and "NEA," "AEA," and the local association name or abbreviation shall be counted as a single word. Campaign statements that exceed appropriate limitations will be cut by striking complete sentences from the end of the statement until the statement meets the word limit. Please submit your candidate statement on a separate sheet of paper. The AEA candidates may provide a current photo, if it is to be published with their statement. Photos will not be returned or maintained for future years. I, the undersigned, do accept the nomination. ____________________________________________________________ Date ________________________________ Signature of the Candidate is mandatory. Biographical Data (Optional) School District Where Employed ___________________________________________ Years Employed _____________ Employment Position __________________________________________ Subject/Grade Level _____________________ Total Years of Educational Employment ________ Number of Years as AEA Member _________ As NEA Member ______ Higher Education Degrees Held ____________________________________________________________________________ ________________________________________________________________________________________________________ List (up to 3) the most important elective positions held in local, state and/or national education associations. __________________________________________________________________Year(s) _________________________ __________________________________________________________________Year(s) _________________________ __________________________________________________________________Year(s) _________________________ List (up to 3) the most important appointive positions held in local, state and/or national education associations. __________________________________________________________________Year(s) _________________________ __________________________________________________________________Year(s) _________________________ __________________________________________________________________Year(s) _________________________ List (up to 3) the most important non-education positions held. __________________________________________________________________Year(s) _________________________ __________________________________________________________________Year(s) _________________________ __________________________________________________________________Year(s) _________________________ Candidates for the office of NEA State Director or NEA Alternate State Director must declare their candidacy by submitting this nomination form by 5 PM on March 1, 2012. Nominations for NEA State Director or NEA Alternate State Director will not be accepted on the Delegate Assembly floor unless no other candidate for that position has declared. All other Board of Directors' nominations can be submitted by 5 PM on March 1, 2012, for publication and delegate distribution purposes. Nomination form may be submitted via mail, hand-delivery, fax, or email to: AEA Elections Committee, 345 E. Palm Lane, Phoenix, AZ 85004 FAX: (602) 240-6887 • Email: chris.mayer@arizonaea.org 32 Winter 2011/12 ❘ AEA Advocate