California Educator

December/January 2021

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DECLARATION OF CANDIDACY For CTA/NEA-Retired State Council Representatives and At-Large Director Deadline to return declaration is January 29, 2021 CTA/NEA-RETIRED OFFICES TO BE FILLED: I AM A CANDIDATE FOR THE OFFICE OF: (Please select one) MY CONTACT INFORMATION: (Please print) Email Home Address Mailing Address City & ZIP City & ZIP Home Phone Cell Phone Name (as it should appear on the ballot) CTA ID MY CAMPAIGN STATEMENT: You may write a candidate statement of no more than 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 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. This form must be received no later than 5 p.m. on January 29, 2021. Mail to CTA/NEA-Retired, P.O. Box 921, Burlingame, CA 94011-0921. 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 State Council Representative: District 1 District 3 District 2 District 4 County of Residence State Council Representative Term: 3 years June 26, 2021–June 25, 2024 Requirements: Must be a member of CTA/NEA-Retired AND must reside in the electoral district (see list at bottom right) At-Large Director Term: 3 years June 26, 2021–June 25, 2024 Requirements: Must be a member of CTA/ NEA-Retired AND must be a person of color as defined in the CTA bylaws At-Large Director: I am: African American American Indian/ Alaska Native Asian/Pacific Islander Hispanic 62 cta.org CTA/NEA-Retired to elect State Council Representatives and At-Large Director J A N . 2 9 is the deadline to submit declarations for CTA/NEA-Retired State Council Representatives and At-Large Director. Anyone wishing to run for a position should complete this Declaration of Candidacy form and return it to the address at the bottom of the form. Terms, which begin June 26, are three years for State Council Representatives and At-Large Director. The ballot, including names of the candidates and their campaign statements, will be 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

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