National Earth Science Teachers Association Candidate Nomination Form

All nominees must be members in good standing at time of nomination.

Terms for Regional Directors and Directors-at-Large run from May 1, 2017 – April 30, 2019 while terms for Board Member Representatives to the Executive Committee run from May 1, 2017 - April 30, 2018.

Submit your nomination electronically no later than February 12, 2017. **DEADLINE  HAS BEEN EXTENDED**

If you would like to discuss your potential candidacy, please send an e-mail to:
Belinda Jacobs, NESTA President-Elect, bjrockgirl11@gmail.com. Include your phone number and the best time to reach you.

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* 1. Name

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* 2. Home Street Address

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* 3. Home City/State/Zip

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* 4. Home Phone

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* 5. Home Email

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* 6. Work Street Address

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* 7. Work City/State/Zip

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* 8. Work Phone

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* 9. Work Email

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* 10. Please select the position you desire below:

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* 11. Candidate Background Information Statement (Education, professional service, awards) (Limit to 250 Words)

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* 12. Candidate Position Statement (Limit to 250 words)

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* 13. I certify that the information provided is accurate. By agreeing to this statement, you are "digitally signing" your application.

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* 14. Once your nomination has been accepted, we will ask for a digital photo of you.

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