NEA NOMINATION FORM

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Name of Candidate

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Institution Affiliation

I wish to place my name in nomination as a candidate for MSCA delegate to the 2001 NEA Representative Assembly

Signature_________________________Date_________
Please attach biography statement (not to exceed 50 words)

NOMINATION DEADLINE: FEBRUARY 26, 2001

Send complete form to:

Gerald Concannon
MSCA Secretary
Mass. Maritime Academy
101 Academy Dr.
Buzzards Bay, MA 02532