2022 Declaration of Candidacy for Exec Board Special Election

This declaration must be received by the Elections Chair either electronically or hand-delivered to the Chair's office, Kern 730F, 915 S Mooney Blvd, Visalia, CA, no later than 5:00 p.m. on January 25, 2022. (Postmarked date not accepted.) Submissions from the form below will be date and time stamped. The procedures, timeline, and description of offices for elections are posted on the Elections page.

I hereby certify that I am a COSTA member in good standing and declare I intend to be a candidate for the office of:

Choose the Executive Board position or positions for which you wish to declare candidacy.

Vice President (term ending June 30, 2023)

Member-at-large (term ending June 30, 2022)

Name

Your name as you wish it to appear on the ballot.

First Name

Last Name

Non-COS Email Address

Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Work Phone

(###)

###

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Home or Cell Phone

(###)

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Campaign Statement

If desired, you may include a campaign statement of 50 words or less. Each individual word is counted as one word. Any word(s) exceeding the limitation shall not be printed. The statements shall not be printed on the ballot.

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