Standing Committee Application - Wisconsin Education Association Council

Name*

First Last

Address*

Street Address City State / Province / Region ZIP / Postal Code

Cell Phone*

Home Phone

Home Email

Local*

Region or Urban*

School District/Tech College Position*

Level*

Committee currently serving on*

List all previous committee(s) served on*

Ethnic Minority - Optional (this information is helpful to the President in meeting various committee requirements)

American Indian, Eskimo or Aleut
Asian or Pacific Islander
Black
Caucasian
Hispanic

Please check the committee(s) to which you wish to be considered for appointment

Community Outreach & Family Involvement
Credentials & Elections
Education Support Professionals
Governance Documents
Human and Civil Rights
Legislative
Political Action
Quality Education
WI Early Career Educators

Local Offices Held & Committees Served On

State Offices Held & Committees Served On

Other Professional Affiliations

Additional Qualifications

Provide name of Region President, Local President, State Aspiring Educators President, WEAC - Retired President or Minority Caucus Chair (whichever applies to you)*

Signature*

CAPTCHA

WEAC Standing Committee Application