California Educator

December/January 2019

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DECLARATION OF CANDIDACY FOR CTA/NEA-RETIRED POSITIONS DEADLINE TO RETURN DECLARATION IS JANUARY 30 CONTACT INFORMATION: (Please print) Email Home Address Mailing Address City, State & Zip City, State & Zip Home Phone Cell Phone Name (as it should appear on the ballot) CTA ID CAMPAIGN STATEMENT: You may write a candidate statement of no more than thirty (30) words, which will be included with the ballot. If more words are used, the statement will only include the first 30. Reference to ethnic minority identification will not be counted in the 30-word limitation. Evendi alique conemodis mollesciur re auda esequi invenditat eos isquata quiatem lacium re, ipsam, corerest eum acepelesed qui omni optaqua tecatur sum repellautem dolorerro comnistota non et, omnis dolorenda ad ut venim elesequam solum que Evendi alique conauda esequi invenditat eos isquata quiatem lacium re. ata quiatem lacium re. alique conauda esequi invenditat eos isquata quiatem lacium re. ata quiatem lacium re. This form must be received no later than 5 p.m. on January 30, 2020. Mail to: CTA/NEA-Retired Elections, 1705 Murchison Drive, Burlingame, CA 94010 Email: CTA-Retired@cta.org Candidates may wish to return this form by certified mail in order to get a receipt and ensure compliance with the deadline. Date Signature CTA/NEA-RETIRED OFFICES TO BE FILLED: President, Vice President, Secretary-Treasurer of CTA/NEA-Retired Term: 2 years, beginning June 26, 2020 Requirements: A candidate must be a member of CTA/NEA-Retired. Interim State Council Representative for District 4 of CTA/NEA-Retired Term: From confirmation of this election through June 25, 2021 Requirements: A candidate must be a member of CTA/NEA-Retired and reside in District 4. I AM A CANDIDATE FOR THE OFFICE OF: President Vice President Secretary-Treasurer Interim State Council Representative for District 4 County of Residence: 58 cta.org CTA/NEA-Retired to elect Officers and Interim State Council Representative for District 4 Anyone wishing to run for a position should complete this Declaration of Candidacy form and return it to the address at the bot- tom of the form. The deadline to submit forms is January 30. A postcard containing voting instructions will be mailed and/or emailed to CTA/NEA-Retired members in February. For more information, call 650-552-5439. ELECTORAL DISTRICTS Following are the counties in each electoral district for CTA/NEA-Retired: District 1 Alameda Napa Contra Costa San Benito Del Norte San Francisco Humboldt San Mateo Lake Santa Clara Marin Santa Cruz Mendocino Solano Monterey Sonoma District 2 Alpine Placer Amador Plumas Butte Sacramento Calaveras San Joaquin Colusa Shasta El Dorado Sierra Fresno Siskiyou Glenn Stanislaus Kern Sutter Kings Tehama Lassen Trinity Madera Tulare Mariposa Tuolumne Merced Yolo Modoc Yuba Nevada District 3 Los Angeles Santa Barbara San Luis Obispo Ventura District 4 Imperial Riverside Inyo San Bernardino Mono San Diego Orange CTA & You C A N D I D A C Y F O R M

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