Exit this survey >> TEA Delegate Nomination Form This form is designed to gather nominations of those interested in serving as a delegate to the Tennessee Education Association Representative Assembly. Question Title * Last Name Question Title * First Name Question Title * Contact information School/Work Site: * Home Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP: * Home Email Address: * Question Title * Phone numbers cell home work work extension Question Title * Have you served as an TEA delegate in the past? Yes. No. Question Title * NEA member number or MNPS employee ID number. Question Title * How would you describe your position? Teacher Administrator/Supervisor Education Support Question Title * Are you an ethnic minority? Yes No Prefer not to answer Question Title * Please respond. By submitting this form I am acknowledging I am an MNEA member in good standing. All of the information provided above is accurate to the best of my knowledge. Done >>