July 1, 2022 You must have JavaScript enabled to use this form. Back-To-School Request Form Your new teacher welcome and district-wide back-to-school meetings are great opportunities to have MNEA touch base with your members and potential members. MNEA is happy to assist your local association in many ways: personal visits, speaking engagements, and provide additional materials. These events can be personalized to fit the needs of your local association or district requirements. Discover the hidden value of belonging to a strong national and state organization-saving money! Member Benefits is happy to help you at your back-to-school events, establish a member benefits fair, or provide training to your building reps and local leaders. Requests are handled on a first-come, first-served basis. Deadline to submit requests: July 1 Type of Request MNEA Leader Request Your local association would like to invite the MNEA president to attend and possibly speak at an event in your school district. Member Benefits Request Your local association would like MNEA Member Benefits to attend your event. Local Information Local Association Local President Name Local Association Contact Information First Name Last Name Email Address Cell Phone Address Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon ZIP/Postal Code Event Details Event Date and Time Event Date and Time : Date Event Date and Time : Time Duration of the Event Duration of the Event - Select -1 hour2 hours3 hours4 hoursOther… Enter other… Will local leaders be in attendance at this event? Yes No Will local members be in attendance at this event? Yes No Expected Number of Participants Expected Number of Participants - Select -1-1011-3031-5050-7575-100101-250251-500501-1,000Other… Enter other… Event Location (school name) Event Location (address) Address Address 2 City/Town State/Province - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle East)Armed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederated States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyomingAlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNova ScotiaNorthwest TerritoriesNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Type of Back-To-School Event (MNEA Leader Request) New Teacher Breakfast/Lunch/Dinner New Teacher Orientation All Teacher Orientation All School Convocation Other… Enter other… Type of Back-To-School Event (MNEA Member Benefits Request) SEND MEMBER BENEFITS MATERIALS ONLY ESTABLISH a Member Benefits Fair MEMBER BENEFITS TABLE ONLY being staffed by MNEA staff liaison Other (please specify)… Explain … Number of Tables available for Member Benefits