Declaration of Candidacy FormsDeclaration of Candidacy Form for Citywide Officers Deadline for receipt of this form is September 29, 2025, timestamped by 5:00 pm. Name (required) As you would like it to appear on ballot. Declaration of Candidacy (required) UTLA PresidentNEA Vice PresidentAFT Vice PresidentElementary Vice PresidentSecondary Vice PresidentUTLA SecretaryUTLA Treasurer Employee ID Number (required) Non-LAUSD Email (required) Street Address (required) City (required) State (required) Zip Code (required) Home Phone Number Cell Phone Number (required) School Phone Number (required) School/Site (required) Permission is granted for UTLA to give contact information to members and media when requested: School SiteHome PhoneCell PhoneNon-LAUSD emailCheck those methods that are acceptable to give out. Permission is given for the Elections Committee to verify my membership and to determine that I meet the requirements to be a candidate for the office for which I have declared I agree I declare the above assignment information true to the best of my knowledge. (required) Checking this box represents your e-signature I, __________, candidate for the office of __________, do hereby declare that I will use the UTLA constituency chapter chair contact information for the sole purpose of contacting members to solicit their votes in connection with the election. I will only disclose this information to members who are participating in my campaign. I will assure that anyone working to assist me in my campaign is aware that this information must only be used in connection with the election. __________ Signature of Candidate __________ Date Signed This form goes to Princess M. Sykes of the UTLA Elections Committee, who can also be reached at psykes@utla.net or 3303 Wilshire Blvd., 10th floor, Los Angeles, CA 90010 or 1–213–368–6220.