Candidate Submission Form

1. Complete this form and attach a photograph of yourself by January 3, 2020. Or E-mail information and a picture in .jpg format to: Jarrod O'Donnell
jodonnell@atlanticiaschools.org
Any information returned after the January 3rd 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, png or tif format
Submit to IBA Elections Chair