Declaration of Candidacy Form for Special Categories Directors

Deadline for receipt of this form is September 29, 2025, timestamped by 5:00 pm.

All candidates must meet the same requirements as the voters; however, candidates must also meet the two-year membership requirement.

1. Health and Human Services Director: Must be serving in a position that requires a service credential or professional license. (PT. OT. etc.) They may also hold a teaching credential, but their current position cannot be a teaching position.

2. Substitute Teachers Director: Must be serving as a substitute teacher ETK-12.

3. Adult Education Director: Must be serving in an adult education teaching position.

4. Early Childhood Education Director: Must be serving under a children’s center permit.

5. Special Education Director: Must be serving in a position that requires a Special Education teaching credential. (Note: It is not relevant that LAUSD has grouped many service providers into the LAUSD “Special Education” Department).

6. Bilingual Education Director: Must be serving in a teaching position and hold the BCLAD or equivalent bilingual certification. Candidates do not have to be currently teaching in a bilingual classroom or in a position that requires a bilingual authorization.

(One (1) director elected by bilingual education teachers. Any member holding a Bilingual Certificate of Competency (BCC or BCLAD or equivalent). (added December 4, 1985) (amended March 6, 2013).

Name (required)

As you would like it to appear on ballot.

Declaration of Candidacy (required)
Health and Human Services DirectorSubstitute Teachers DirectorAdult Education DirectorEarly Childhood Education DirectorSpecial Education DirectorBilingual Education Director

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

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.