Nomination Form for IEA Office

Name
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Email
Home Phone
Cell Phone
Office sought
- IEA President
- IEA Vice President
- NEA Director from the IEA
- IEA Representative on the NEA Resolutions Committee
- At Large Member of the IEA Board of Directors
- ESP at Large Member of the IEA Board of Directors
- IEA Regional Representative on the IEA Board of Directors
- Retired Member on the IEA Board of Directors
Closing of nominations for these offices is two (2) months prior to the first day of Delegate Assembly
Please list any (3) offices you have held in the local, region or state education association. Also list the dates that the office(s) was held.
Please list and explain up to three other activities or involvement in your local, region, or state education association.