2025 NEA RA Credential Form - Maryland State Education Association

Signature *

Clear Signature

I hereby accept the credentials as an MSEA State Delegate to the 2025 NEA Representative Assembly. I agree to attend all meetings of the caucus and the Representative Assembly and to vote in each election. I understand that failure to fulfill these responsibilities can jeopardize receipt of a stipend. I understand that I must attend all sessions of the NEA RA and the Maryland Delegation meetings to qualify for the total stipend.

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Phone *

Email (this is the email to which all information will be sent) *

Local *

Select one. If you select either MSEA will determine regional/at-large in order to maximize the state and regional delegations and all for MSEA to send a full delegation. *

Are you a first time delegate? *

Yes
No

Are you National Board Certified? *

Yes
No

Are you a building rep or local officer? *

Yes
No

Please check all that apply. These data are collected to comply with NEA Bylaw 3.1(g) and are not shared or used for other purposes. *

Position *

Would you be interested in serving as a mentor to a first time delegate?

Yes
No

Would you like to be paired with a mentor delegate?

Yes
No