WEAC-R Delegate to NEA RA Copy Candidate Nomination Form – Wisconsin WEAC-Retired Delegate to the NEA Representative Assembly Candidate - Wisconsin 2018-2019 Retired State Delegate to the NEA Representative Assemblies If you are human, leave this field blank. This form must be submitted by January 12, 2018. Name of Candidate Membership ID (Do NOT use Social Security Number. If Membership ID is not known, please contact WEAC Membership at 800-362-8034 x 507). Street Address City State Zip Code Home/Cell Phone Home Email Address If you wish to have information pertinent to your candidacy published on the WEAC web site, please provide information which you believe relevant in 200 words or less. Information may include Association experience (current and past) and philosophical statements about why you are seeking the post. The WEAC will correct typographical errors but will not edit. Your material will be published as submitted. If elected as a WEAC-Retired delegate, I shall be willing to serve in the post of NEA retired delegate to the 2018 and 2019 NEA Representative Assemblies. The elected retired delegates to the NEA RA will receive a stipend from the WEAC to cover expenses as approved by the WEAC Board of Directors. I understand that payment of the stipend is contingent upon the delegates’ attendance at the annual NEA-R meetings which are being held June 30-July 5 in Minneapolis, MN, and the conference in Houston, Texas, June 2-7, 2019. WEAC will reimburse approved expenses related to the delegates’ attendance at the NEA-R Annual meetings. I understand that no portion of dues money collected at the local, UniServ, state, or national level may be used to promote my candidacy for NEA delegate. Please enter your name in the box below, which will serve as your signature. Signature Name, address, and phone number of nominator (if other than the candidate).