STUDENT SERVICES NOMINATION FORM

STUDENT SERVICES NOMINATION FORM
This form is used for notice of candidacy. Please complete and submit the nominations for state and regional positions. A biographical form must also be submitted for state and regional director positions. Each candidate for a position must have an active membership.

DEADLINE TO SUBMIT THIS FORM: January 7, 2025.

Please Note: Regional directors cannot come from the same county within a region.

For the regions that have two director positions listed, the individual with the highest number of votes will serve in the position's longest term, and the individual with the second highest number of votes, who is from a different local, will serve in the position's shorter term.

POSITIONS AVAILABLE FOR NOMINATION ON THIS FORM:

President: 2-year term

Treasurer: 2-year term

Secretary: 1-year term

Region 1A Director: 3-year term

Region 1B Director: 2-year term

Region 2 Director- (1): 3-year term (Forsyth ineligible)

Region 3 Director- (1): 2-year term (Charlotte-Mecklenburg ineligible)

Region 5 Director- (1): 3-year term (Granville ineligible)

Region 6 Director- (2): 3-year and 1-year terms

Region 7A Director: 1 year term

Region 7B Director: 2 year term

Biographies and photographs of all candidates for the vice president, secretary, treasurer, and regional directors will be published in the NCAE News Bulletin. Submit this form and biographical form via Jotform or send by certified mail to Malika Butler, 3700 Glenwood Avenue, Suite 510, Raleigh, NC, 27612 postmarked no later than January 7, 2025. The NCAE Biographical Election Form can be found on the NCAE website: https://www.ncae.org/media-center/2025-ncaenea-nomination-forms.

The deadline to withdraw a nomination is January 14, 2025. The wthdrawal statement must be in writing and submitted to ncaeelections@ncae.org.
Candidate's Name*

First NameLast Name
I hereby file notice as a candidate for nomination as (position)*

President: 2-year termTreasurer: 2-year termSecretary: 1-year termRegion 1A Director: 3-year termRegion 1B Director: 2-year termRegion 2 Director: 3-year term (Forsyth is ineligible)Region 3 Director: 2-year term (Charlotte-Mecklenburg is ineligible)Region 5 Director: 3-year term (Granville is ineligible)Region 6 Director: 3-year termRegion 6 Director: 1-year termRegion 7A Director: 1-year termRegion 7B Director: 2-year term
Name as you wish it to appear on the ballot *
Local affiliate county *
Select Region *
Individual ID Number (this number begins with 3 zeroes (000) and can be found on the membership card and NEA publications received.)*
Personal email*
Professional classification and/or job title (certified and classified positions)*
Ethnicity *
Date*

MonthDayYear
Date
Biographies and photographs of candidates running president, secretary, treasurer, and regional director positions will be published on the NCAE website. Complete and submit this form and biographical form via Jotform or by certified mail to Malika Butler, 3700 Glenwood Avenue, Suite 510, Raleigh, NC, 27612 no later than January 7, 2025. The NCAE biographical form can be found on the NCAE website, www.ncae.org.

The deadline to withdraw is January 14, 2025. The wthdrawal statement must be in writing and submitted to ncaeelections@ncae.org.
Should be Empty: