Caucuses are required to have at least 25 members and are now required to submit a list of its members to include: first name, middle initial, last name; their NEA I.D. number (found on any NEA publication mailing label); and state. Please copy and email this information to: admin@nea-exgay.org
NEA Ex-Gay Educators’ Caucus Membership
I currently am an NEA member and would like to join the NEA Ex-Gay Educators’ Caucus for 2021-22. All information required by NEA.
__________________ ________________ _______
Print First, M.I., Last Name Member I.D. Number State
(The following portion of the form to be retained solely by the caucus for conducting caucus business.)
Name: Last_________________________________ First________________________
Postal Address _____________________________________________
City ____________________________ State ____________ Zip _______
Email address___________________________________
Phone contact with area code______________________
Issues of interest:
Is there a particular type of volunteer work you are interested in: (Check all that apply.)
____Public speaking/training ____ Writing letters ____ Fundraising
____ Research ____CPA, accounting, budget ____Lobbying
____ Distribute caucus brochures, etc. to inform NEA members of the caucus and its goals.
____ Host a caucus exhibit booth in your area
____ Grant writing ____ Answering emails ____ Website management
Other (Specify): ________________________________________
Donations for caucus expenses (optional):
$ _______ Total amount enclosed
Make checks payable to Ex-Gay Educators’ Caucus (not tax deductible)
Please mail form and payment to:
NEA Ex-Gay Educators’ Caucus
P.O. Box 543
Cottage Grove, MN 55016
If using PayPal: http://www.PayPal.Me/exgay
Please submit questions to admin@nea-exgay.org
The views expressed in this document are those of the caucus. The caucus has no authority to speak for, or act on behalf of, the NEA.
NEA Ex-Gay Educators' Caucus 