WEAC - Committee Appointment Recommendations - Wisconsin Education Association Council

Name of Nominee

First Last

Address

Street Address Address Line 2 City State ZIP Code

Phone

Home Email Address

Local Education Association

Region

School District / Tech College Position

Level

Committee Currently Serving On

Previous Committees Served On

Local Offices & Committees

State Offices & Committees

Other Professional Affliations

Additional Qualifications

Minority (optional) This information is helpful for the President in meeting various committee requirements

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

Please check the committee(s) to which you wish to be considered for appointment in numerical preference order (descriptions are below)

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

Appointments require prior approval from your Local President, Region President, Aspiring Educators President, WEAC-Retired President, or Minority Caucus Chair (whichever applies to you). Please list below your Local President's or Chair's name and title.

I can confirm that I have received prior approval from my Local President or Chair listed above:

Yes
No

By entering name on this field, I am electronically signing my application.

RETURN THIS FORM BY June 15 to: Office of the President Wisconsin Education Association Council PO Box 8003 Madison, WI 53708 Committee Recommendations must be submitted on this Form! ****PLEASE NOTE: NO FORM CAN BE ACCEPTED WITHOUT AN OFFICIAL SIGNATURE****

WEAC – Committee Appointment Recommendations