WEAC ESP Representative to the WEAC Board of Directors Form - Wisconsin Education Association Council

Complete the form below to nominate yourself or a colleague for ESP Representative to the Wisconsin Education Association Council Board of Directors. This nomination must be received by February 1, 2023.

Name:*

First Last

This is how I wish my name to appear on the ballot:*

First Last

Local or Chapter Name*

Area of Employment

Email Address*

Phone

Address*

Street Address Address Line 2 City State ZIP Code

Number of years as a member in WEAC/NEA

Brief statement (not to exceed 50 words) setting forth the candidate's qualifications.

Name, address, and email address of nominator (if other than the candidate)*