AEW - Wisconsin Delegate to the NEA RA - Wisconsin Education Association Council

This form must be submitted by March 1.

Name of Candidate*

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Email

Number of Years being a member in AEW

College / University

Positions held at local, state, or national levels of Aspiring Educators of Wisconsin

Major / Certification Area

Aspiring Educators of Wisconsin Chapter

Ethnic Background Statement (optional)

WEAC Membership ID number

I understand that no portion of dues money collected at the local, regional, state, or national level may be used to promote the candidacy of any individual for NEA delegate.

If elected, I will serve in the post of Aspiring Educators of Wisconsin delegate to the NEA Representative Assembly. Please enter your name in the box below which will serve as your signature.

Brief statement (not to exceed 200 words) setting forth the candidate's qualifications

Name, address, and phone number of nominator (if other than the candidate)

NOTE: Qualification statement which accompanies ballot should include number of years of Aspiring Educators of Wisconsin membership, major/certification area, and local Aspiring Educators of Wisconsin Chapter.

AEW – Wisconsin Delegate to the NEA RA