Arizona Education Association

Winter 2016

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WINTER 2016 | ADVOCATE 35 Association Governance 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) __________________________________________ Candidate __________________________________________________________________________________________________________________ Address ____________________________________________________ City ____________________ State _____ ZIP _____________ Local Association ____________________________________ Home Email ________________________________________________ Telephone (H) _____________________________________________ (W) _____________________________________________ _____ For the 2017 Board of Directors' election, please review page 34 for open positions. Candidate for the office of: Region _____ Alternate Director AEA Education Support Professional At-Large Director AEA Education Support Professional Alternate 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. By selecting the "I Accept" button, you are signing this nomination form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this nomination form. All Board of Directors' nominations can be submitted by 5 PM on March 1, 2017, 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 I Accept Signature of the Candidate is mandatory. Date ______________________________________________ Arizona Education Association (AEA) Board of Directors' Nomination Form

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