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AEW – Wisconsin Delegate to the NEA RA
This form must be submitted by March 1.
Name of Candidate
*
First
Last
Address
Street Address
Address Line 2
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
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.