California Educator

December 2012

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Declaration of Candidacy For CTA/NEA-Retired Vice President and State Council Alternates Deadline to return declaration is Jan. 31, 2013 Offices to be filled: Vice President of CTA/NEA-Retired (to fill a vacancy) Term: From the date of the election through June 25, 2014 Requirements: A candidate must be a member of CTA/NEA-Retired. CTA/NEA-Retired State Council Alternates, 2 seats per District Term: 3 years, beginning June 26 Requirements: A candidate must be a member of CTA/NEA-Retired and reside in the district she/he is elected to represent. I am a candidate for the office of: Vice President State Council Alternate: District 1 District 2 District 3 District 4 CTA/NEA-Retired to elect vice president and State Council alternates Jan. 31 is the deadline to submit nomin a t i o n s fo r C TA / N E A - R e t i r e d v i c e president and State Council alternates. Alternates shall serve when an elected representative in that region cannot attend a meeting. Anyone wishing to run for a position should complete the Declaration of Candidacy form (left) and return it to the address on the form. The term for CTA/NEA-Retired vice president is from the date of the election through June 25, 2014. The term for State Council alternate is three years. The ballot, including names of the candidates and their campaign statements, will be mailed to members in February. For more information, call (650) 552-5313. My retired electoral district is: (See list at right) Electoral districts Retired electoral district Following are the electoral districts for CTA/NEA-Retired. County of residence My contact information: (Please print) RETIRED DISTRICT 1 Name Mailing address City & Zip City & Zip Home phone Cell phone E-mail My campaign statement: As a candidate for CTA/NEA-Retired vice president 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 limitation. Alameda Contra Costa Del Norte Humboldt Lake Marin Mendocino Monterey Napa San Benito San Francisco San Mateo Santa Clara Santa Cruz Solano Sonoma RETIRED DISTRICT 2 Alpine Amador Butte Calaveras Colusa El Dorado Fresno Glenn Kern Kings Lassen Madera Mariposa Merced Modoc Nevada Placer Plumas Sacramento San Joaquin Shasta Sierra Siskiyou Stanislaus Sutter Tehama Trinity Tulare Tuolumne Yolo Yuba RETIRED DISTRICT 3 Los Angeles San Luis Obispo Date Signature This form must be received no later than 5 p.m. Jan. 31, 2013 Mail to CTA/NEA-Retired Elections, Attn: Human Rights, P.O. Box 1187, Millbrae, CA 94030-1187. Candidates may wish to return this form by certified mail in order to get a receipt and ensure compliance with the deadline. Santa Barbara Ventura RETIRED DISTRICT 4 Imperial Inyo Mono Orange Riverside San Bernardino San Diego December 2012 ��� January 2013 23

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