Sample Local Nomination Form

LOCAL NOMINATION FORM

This form is used for sending in local nominations.  Please complete and submit the nominations for local officers and NEA state-allotted delegate.  

The deadline to submit is ________________________.

POSITIONS AVAILABLE FOR NOMINATIONS ON THIS FORM

(Each local may have different positions opened) 

  • Local President
  • Local Vice President
  • Local Secretary
  • Local Treasurer
  • Local Election Chair
  • NEA State-allotted delegate – Category 1
  • NEA State-allotted delegate – Category 2

 ______________________________________________Name

______________________________________________ as a candidate for the office of

___________________________________ individual membership number (Mandatory)

___________________________________ (professional classification – classroom teacher, etc.)

______________________________________________ (Ethnicity)

______________________________________________ (Date)

 (You are welcome to request the following to post on the local’s web site)

Biographies and photographs of all candidates for the positions might be published in the local’s website. Nominations must be accompanied with a biographical statement and a picture of professional-quality.  Submit the nomination form, biographical statement, and picture via e/mail (_______________________) or mail by certified mail to ____________________postmarked no later than ____________________.