Candidate Submission Form

1. Complete this form and attach a photograph of yourself by January 8, 2018
Or E-mail information to: Bertrand@bvu.edu with a picture in .jpg format.
Any information returned after the January 8th deadline may not be included in the Winter Issue of the IBA Magazine. Please do not miss this deadline.


Candidate for

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IBA District

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Name (as you wish to have it on the ballot)(*)

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Email(*)

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Present/Former Teaching Assignment

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(if applicable)
Family Information

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Teaching Experience Past and Present

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Educational Background

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Organization Affiliations and Memberships

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include offices held
Honors and Awards received by you or your band

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Statement/Campaign Statement

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Use this space to include any other pertinent information of if you wish to make any statement concerning your career or nomination for this award.
Add your picture here

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attach your picture in a jpg format
Type the letters in the box(*)
Type the letters in the box

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Submit to IBA Elections Chair