Delegate Credentials Acceptance Form

State Delegate Credentials Acceptance

2017 NEA Convention

   * Required

  I hereby accept the credentials as a State Delegate for Missouri NEA to the 2017 NEA Representative Assembly. I agree to attend all meetings of the caucus and the Representative Assembly (NEA Convention) and to vote and turn in my voting receipt for each election. I understand that failure to fulfill these responsibilities can jeopardize full reimbursement.

I understand that I will be eligible for expense reimbursement of up to $1,200 plus supersaver airfare (capped at $400). I will be sent a $600 advance in May. I agree to submit a voucher verifying all expenses by August 7, 2017.

  * First Name    * Last Name  
  * Phone Number (Cell or Home)    * Email Address  


  * First time delegate?



* National Board Certified?



* Association Representative
(Officer or Building Rep)?




* Green Delegate?


(Green Delegates will be provided some essential RA meeting resources at delegate registration and will receive a green ribbon in lieu of the full delegate packet).


 * Race or Ethnicity?





 * Position?



Credential acceptance must be
received by 11:59 p.m. on April 10, 2017 
or your position will be filled by an alternate!