WEAC NEA RA Delegate Election Form - Wisconsin Education Association Council

This form must be submitted by December 1.

Name of Candidate

First Last

Membership ID (Do not use Social Security Number. If Membership ID is not known, please contact WEAC Membership at 800-362-8034 x 507).

Address

Street Address Address Line 2 City State ZIP Code

Home / Cell Phone

Home Email Address

Number of Years of School Experience

School

Member Type

Teacher
ESP

If elected, I shall be willing to serve in the post of NEA delegate to the 2023 NEA Representative Assembly in Orlando, Florida; the 2024 NEA RA in Philadelphia, PA, and the 2025 NEA RA at a site to be determined.

If elected as both a state and local delegate, I will choose to serve as a:

State delegate
Local delegate

Region

Local

Ethnic Background Statement (Although optional, we encourage all candidates to complete this section of the form).

American Indian / Alaska Native
Asian
Native Hawaiian / Other Pacific Islander
Causasian
Black
Hispanic
Multiple Races
Other Racial / Ethnic Minority

If you wish to have information pertinent to your candidacy published on the WEAC website, please provide information which you believe relevant in 2000 words or less. Information may include Association experience (current and past) and philosophical statements about why you are seeking the post. WEAC will correct typographical errors but will not edit. Your material will be published as submitted.

I understand that no portion of dues money collected at the local, regional, 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.