EmailMeForm
2015 MACS Relicensure Committee Nomination
Open Positions:
Three (3) Teacher Representative positions
Term of Office:
August 1, 2015 - July 31, 2017 (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.
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
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, OR have your director send an email verification to Maggie at maggie@mncharterschools.org