Declaration of Candidacy Forms

Declaration of Candidacy Form for Interim Valley West NEA Director

    Deadline for receipt of this form is January 12, 2024, timestamped by 5:00 pm.

    As you would like it to appear on ballot.


    Valley West

    Check those methods that are acceptable to give out.

    I, __________, candidate for the office of NEA Valley West Director, 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 Tara Thomas of the UTLA Elections Committee, who can also be reached at or 3303 Wilshire Blvd., 10th floor, Los Angeles, CA 90010 or 1–213–637–5165.