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Declaration of Candidacy for CTA/NEA-Retired Officers and State Council Alternates DeaDline to return Declaration is Jan. 29, 2010 Offices to be filled: President, Vice President, secretary-treasurer of cta/nea-retired Term: 2 years, beginning June 26 Requirements: A candidate must be a member of CTA/NEA-Retired. cta/nea-retired state council alternate Term: 3 years, beginning June 26 Requirements: A candidate must be a member of CTA/NEA-Retired and reside in the electoral district she/he is elected to represent. I am a candidate for the office of: President Vice President State Council Alternate: District 1 Secretary-Treasurer District 2 CTA/NEA-Retired to elect officers and State Council alternates Jan. 29 is the deadline to submit nominations for CTA/NEA-Retired state officers and State Council alternates. State Council alternates shall serve when an elected representative in that region cannot attend a meeting. 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. Terms, which begin June 26, are District 3 District 4 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 officer or State Council Alternate, 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 limita- tion. __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________ Date _____________________________________________________________ Signature tHis ForM Must Be receiVeD no later tHan 5 P.M. Jan. 29, 2010 Mail to cta/nea-retired elections, attn: Human rights/community outreach, 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. Mailing Address City & Zip ) ____________________________________ ( ) _____________________________________ Cell phone two years for state officers and three years for State Council alternates. The ballot including names of the candidates and their campaign statements will be mailed to members in February. For more information, call (650) 552-5468. Electoral districts Following are the electoral districts for CTA/NEA-Retired. RetiRed distRict 1 Alameda Contra Costa Del Norte Humboldt Lake Marin Mendocino Monterey Alpine Amador Butte Calaveras Colusa El Dorado Fresno Glenn Kern Kings Lassen Madera Mariposa Merced Modoc Nevada Los Angeles San Luis Obispo Imperial Inyo Mono Orange Napa San Benito San Francisco San Mateo Santa Clara Santa Cruz Solano Sonoma RetiRed distRict 2 Placer Plumas Sacramento San Joaquin Shasta Sierra Siskiyou Stanis laus Sutter Tehama Trinity Tulare Tuolumne Yolo Yuba RetiRed distRict 3 Santa Barbara Ventura RetiRed distRict 4 Riverside San Bernardino San Diego december 2009 • january 2010 | 35

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