California Educator

December 08

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Declaration of Candidacy for CTA/NEA-Retired State Council Representatives DEADLINE TO RETURN DECLARATION IS JAN. 30, 2009 Offices to be filled: CTA/NEA-Retired representatives to CTA State Council for Districts 1, 2, 3 and 4 Term: 3 years, beginning June 26 Requirements: A candidate must be a member of CTA/NEA-Retired and reside in the retired electoral district she/he is elected to represent. I am a candidate for the office of: State Council Representative: District 1 My retired electoral district is: (See list at right) Retired electoral district ___________ County of residence ________________________________ My contact information: (Please print) ____________________________________________________________________________________ Name ____________________________________________ Home Address ____________________________________________ City & Zip ( ) ____________________________________ Home phone ____________________________________________ E-mail Address My campaign statement: As a candidate for CTA/NEA-Retired State Council representative, you may write a candidate statement of no more than 35 words, which will be included with the ballot. If more words are used, the statement will include only the first 35. Reference to ethnic minority identification will not be counted in the 35-word limitation. Date __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________ ____________________________________________ Mailing Address ____________________________________________ City & Zip ( ) _____________________________________ Cell phone District 2 District 3 District 4 CTA/NEA-Retired to elect State Council reps Jan. 30 is the deadline to submit nominations for State Coun cil rep - resentatives for CTA/NEA-Retired. Anyone wishing to run for a posi- tion should complete the Declaration of Candidacy form (left) and re turn it to the address on the form. The term, which begins June 26, is three years for State Council represen- tatives. The ballot including names of the candidates and their campaign state- ments will be mailed to members in February. For more information, call (650) 552-5468. eir c Electoral districts Following are the electoral districts from which CTA/NEA-Retired rep - resentatives will be elected. RETIRED DISTRICT 1 Alameda Contra Costa Del Norte Humboldt Lake Marin Mendocino Monterey Amador Butte Calaveras Colusa El Dorado Fresno Glenn Kern Kings Lassen Madera Mariposa Merced Modoc Nevada _____________________________________________________________ Signature San Luis Obispo THIS FORM MUST BE RECEIVED NO LATER THAN 5 P.M. JAN. 30, 2009 Mail to CTA/NEA-Retired Elections, Attn: Human Rights Dept., P.O. Box 4156, Burlingame, CA 94011-4156. Candidates may wish to return this form by certified mail in order to get a receipt and ensure compliance with the deadline. Napa San Benito San Francisco San Mateo Santa Clara Santa Cruz Solano Sonoma RETIRED DISTRICT 2 Alpine Placer Plumas Sacramento San Joaquin Shasta Sierra Siskiyou Stanis laus Sutter Tehama Trinity Tulare Tuolumne Yolo Yuba RETIRED DISTRICT 3 Los Angeles Santa Barbara Ventura RETIRED DISTRICT 4 Imperial Inyo Mono Orange Riverside San Bernardino San Diego DECEMBER 2008 • JANUARY 2009 | www.cta.org 35 Log in to MyCTA

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