DECLARATION OF CANDIDACY AND NOMINATING PETITION
FOR TEACHER REPRESENTATIVE FOR REGIONAL SCHOOL BOARD

I,________________________________, declare that I am, and, by (Month)_____________(Day)________(Year)________will have been a resident of the Alaska Gateway School District Attendance Area, for at least thirty (30) days; that I am a citizen of the United States; and that I have passed my 18th birthday.

I declare myself a candidate for teacher representative on the Regional School Board for a term of three years, that will commence on the (Month)_____________(Day)________(Year)________ and will end when my successor has been elected and has taken office.

I request that my name be printed on the mail-in ballot for the election to be held on the (Month)_____________(Day)________(Year)________. I understand that this petition must be received in the Alaska Gateway School District Office, Box 226, Tok, Alaska 99780 prior to 4:30 p.m.on (Month)_____________ (Day)________(Year)________.

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Candidate's Name (Please print)

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Signature of Candidate Date


We, the undersigned, are qualified to vote for the teacher representative for the Alaska Gateway School District Regional School Board, and do hereby nominate __________________________ who has signed the above Declaration of Candidacy to be a candidate for the office of teacher representative of the Regional School Board.


1. __________________________________________________________________________
2. __________________________________________________________________________
3. __________________________________________________________________________
4. __________________________________________________________________________
5. __________________________________________________________________________


I, Todd Poage, Superintendent of Schools, Alaska Gateway School District, do hereby certify that _________________________________ fulfilled the obligations of this Declaration of Candidacy.
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Todd Poage, Superintendent of Schools/Date