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KENTUCKY EDUCATION ASSOCIATION

Uniting, Organizing, Empowering Members



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Fellows Program Application


Name:
Address:
City:
State:
Zip:
Home Phone:
Mobile Phone:
Personal Email:
Work Site Email:
 
School District:
Position:
Ethnicity:
KEA District:
 
Have you ever attended a national level conference of any kind?:
Yes
No
If yes, please list in box below:
 
How long have you been involved in public education?:
 
Do you currently hold a leadership position of any kind in KEA?:
Local:
District:
State:
National:
 
Do you belong to any other professional organizations?:
Yes
No
If yes, please describe:
 
How did you hear about this program?
 
In 200 words or less tell us WHY you think belonging to KEA is important.
 
In 100 words or less tell us HOW you see yourself becoming more involved in KEA leadership in the future.
 
CONTRACT OF OBLIGATION

I agree to fully participate in the KEA FELLOWS program. I understand that am one of a limited group of members from across the Commonwealth who has been selected to participate in this year’s KEA Fellows class. I have a full understanding of the obligation of time and effort expected on my part.

I pledge to fulfill the following:
  • I will engage in all activities to the fullest of my abilities.

  • I will attend all functions and events unless an emergency arises or I am doing other work of the Association. I further understand that if I miss two consecutive events/actions, I will be removed from the program.

  • I will notify KEA if I am unable to attend an event or function as soon as I am aware of my need to be absent.

  • I will participate in email, conference calls and social media platforms. I will support the Program making every effort to build relationships with other fellows and speaking for the program on my local and district level.
 
I understand that signing below constitutes a legal signature confirming that I acknowledge and agree to the above Contract of Obligation.