Page 5 - Retiree News Winter 2021
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2021 RETIREE APPLICATION FOR ELECTION TO OFFICE
Please mail your application with original signature to:
CSEA Statewide Election Committee Attention: Legal Department Box 7125 Capitol Station Albany New York 12224 by March 5 2021 NO APPLICATION WILL BE CONSIDERED UNLESS THE QUALIFICATIONS LISTED BELOW ARE MET:
ØThe candidate has been a a a a a a member in in in good standing of his/her Retiree Local/Unit since June 1 2020 Ø The candidate has not been a a a a a a a member of a a a a a a a competing retiree organization since June 1 2020 (i e e e REPA) ØThe candidate is is not currently serving a a a a a disciplinary penalty imposed by the CSEA Judicial Board Ø The candidate is is not currently the the subject of a a a a a a bonding claim by by the the the Association Association or disqualified from being covered by by the the Association's surety bond "Member in in in Good Standing" means that the candidate has fully paid dues continuously without interruption since June 1 2020 If a a a a a a a a a candidate has any questions regarding membership status please call CSEA’s Membership Department at at 1-800-342-4146 ext 1334 The Membership Department will verify a a a a candidate’s eligibility to run for Retiree office The office I am seeking is: Retiree Retiree Local -OR- Retiree Retiree Unit (check one)
The name of of of the office I am am am seeking is: _________________________________________________________ (Name of Officer Position)
PLEASE REFER TO THE THE THE ADDRESS LABEL ON ON THE THE THE BACK PAGE OF THIS NEWSLETTER FOR THE THE THE AVAILABLE POSITIONS IN YOUR LOCAL OR OR UNIT Slate Name (if applicable): ________________________________________________________________ Candidate Name:________________________________________________________________________ Candidate CSEA CSEA ID ID Number:* _________________ *Call 1-800-342-4146 extension 1334 for your CSEA CSEA ID ID Home Address: _________________________________________________________________________ Phone Numbers: (home:_________________________) (cell:____________________________) Email address: _________________________________________________________________________ I I certify to the the best of my knowledge that I I meet the the above-referenced election qualifications _________________________________________________ ________________________ ________________________ ________________________ (Signature) (Date)
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