Information

Itinerant Assignments Declaration Form

The Itinerant Assignments Declaration form is for all members who are not assigned to a single site, work 50% or more of the time in one UTLA Area, and are interested in voting for Area Directors representing the UTLA Area where they work.

The deadline to submit this form is January 3, 2020, one month prior to the date ballots are mailed out.

It is also required if a person, not assigned to a single site, and would like to run for an Area Director position. However, the date for candidate declarations has passed. If submitted by the deadline, Area Director candidates will be on these members’ ballot for the 2020 UTLA Citywide Elections.

The Itinerant Assignments Declaration Form must be submitted each school year. By submitting this form and if it accurately identifies the member, as working 50% or of the time in one area, it can qualify members for the 2019-2020 school year. The members must also meet other eligibility requirements. Members, who are itinerant, will need to submit this form again each school year.

If a member works one day a week at a particular school that would be 20%, two days would be 40%, a day and a half would be 30%, etc. Substitute teachers should estimate their time by using a couple of weeks as a sample and writing down schools where they commonly work.










Substitute Teachers (K-12, Early Ed, or Adult)Special Educators & Itinerants (Arts, Music, Coaches, etc…) & Health and human Services Personnel (Nurses, Psychologists, Counselors, P. S. A.)

  School/Work Location Approx % per week
1.
2.
3.
4.
5.
6.
7.

Total percents should equal 100.


These Assignments are only valid for the current school year Complete and return to Tara Thomas, UTLA Membership Department.