Declaration of Candidacy Forms

Declaration of Candidacy Form for Special Categories Directors

    Deadline for receipt of this form is September 30, 2022, timestamped by 5:00 pm. If you'd like a PDF version instead, please contact us.

    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).

    As you would like it to appear on ballot.

    Check those methods that are acceptable to give out.

    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 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.