Delegate Credentials Acceptance Form

State Delegate Credentials Acceptance

2017 NEA Convention
Boston

   * 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!