AEA Member Story Submission Form
Member Information
Name
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First Name
Last Name
UniServ District
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AEA Division
Please Select
Association of Classroom Teachers (ACT)
Education Support Professionals (ESP)
Postsecondary
Administrator
Retiree
Student Alabama Education Association (SAEA)
Local Association Name
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Worksite Name
*
Job Title
*
Contact Information
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Personal Email
*
example@example.com
Story Information
The purpose of sharing member stories is to highlight various observances (American Education Week, Arts Education Month, Education Support Professionals Day, etc.), celebrate member achievements, and showcase the remarkable work you do for our schools and students. We want to shed light on your contributions and the great things you accomplish every day as educators. Please provide a brief description of the story you would like to share with AEA for use across different platforms.
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Please list the best times/days of the week that you are available to contact for more information. (i.e. Mondays at 11:00 a.m., Tuesdays and Thursdays at 1:30 p.m.)
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I am making this submission on behalf of:
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Myself
My Local Association
My Worksite
A Colleague
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AEA Media Release
I hereby grant permission to the Alabama Education Association (AEA) and its local affiliates to use all images and/or voice recordings of me recorded by film, videotape, audio recording, still photography, or any other medium. AEA may use the images and/or voice recordings in AEA productions and publications.
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Yes
I understand that AEA has the right to edit, broadcast, rerun, or copy my image and/or voice recording (“appearance”) as they see fit and that AEA may use my appearance in any medium or forum, including the internet.
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Yes
I understand that AEA and its affiliates are under no obligation to use my appearance in connection with any production.
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Yes
I acknowledge that this consent to use images and/or recordings is being made solely for the benefit of AEA and comes without any expectation of monetary compensation or other benefit to me. To the extent that any benefit accrues or might accrue to the organization from the use of images or information, I hereby and forever waive any interest in or claim to such benefits.
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Yes
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