EmailMeForm
2014 MACS Relicensure Committee Nomination
Open Positions:
Two (2) Teacher Representative positions
One (1) Administrator Representative position
Term of Office:
August 1, 2014 - July 31, 2016 (two-year term)
Individuals for the Teacher Representative positions must be licensed by the MN Board of Teaching, hold at least a baccalaureate degree, and teach in a MACS member school. Only one (1) individual from a school is eligible to serve on the committee at any one time.
Individuals for the Administrator Representative position must be licensed by the MN Board of School Administrators, hold at least a baccalaureate degree, and be employed in a MACS member school. Only one (1) individual from a school is eligible to serve on the committee at any one time.
Nominee Name
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Charter School
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Title/Position
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Number of Years at School
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File Folder #
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Email
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Work Phone Number
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Cell Phone Number
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Area(s) of Licensure
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PLEASE ATTACH A RECENT PICTURE:
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JPG file preferred
Please indicate if you are running for one of the Teacher Representative positions or the Administrator Representative position.
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Teacher Representative
Administrator Representative
Educational Background
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Leadership Positions
(Please include dates of service and note any accomplishments)
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Why are you interested in serving on the Relicensure Committee?
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Answers are limited to a maximum of 150 words
Electronic Signature
(I certify that the following typed name is my own)
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First
Last
Date
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MM
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DD
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YYYY
If you are a teacher or staff member, you must submit a hard copy with your director's signature.
