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WEAC-Retired Executive Committee Nomination Form
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WEAC-Retired Joint WI/MN Conference
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Used every 3 years - Nomination form for 2021-2024
Form must be received in the office of the WEAC Executive Director by January 15, 2021, regardless of postmark date.
If this form is printed, it must be received in the office of the WEAC Executive Director by January 15, 2021, regardless of postmark date. WEAC Executive Director PO Box 8003 Madison, WI 53708-8003
This is a nomination for the office of: (Check the appropriate box)
Name of Candidate
Address Line 2
Candidate's Email Address
Candidate's Member Number
Candidate's Phone (with area code)
Please Note: *If elected, I am willing to serve a three-year term of office beginning September 1, 2021, for the WEAC-Retired Executive Committee position checked above. *I understand that no portion of dues money collected at the local, state, or national level may be used to promote my candidacy for the WEAC-Retired Executive Committee position.
Brief statement (not to exceed 200 words) setting forth candidate's qualifications. Words in excess of 200 WILL NOT be included in candidate's published statement.
For self-nomination only: By entering name on this field, I am electronically signing my application.