2026 Board of Directors Appointment Form: Regions 3 & 4

2026 Board of Directors Appointment Submission: Regions 3 & 4

Note: Complete the form below by noon on May 8, 2026. Late and incomplete submissions won't be considered.
Candidate Name*

First NameLast Name
Candidate Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Phone
Please enter a valid phone number.Format: (000) 000-0000.
Cell Phone
Please enter a valid phone number.Format: (000) 000-0000.
Business Phone
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Nominated by the following district / ISD / RESA board of education (attach letter/minutes below):*
Upload nomination letter/minutes (Word or PDF file):*

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District candidate serves*
County district is located in:*
Years of service on this board*
PresidentVice PresidentSecretaryTreasurer
Years of service on another board (leave blank if not applicable)
Which district?
PresidentVice PresidentSecretaryTreasurer
*NOTE: MASB Bylaws Article VIII – Section 5. Qualifications. “Each Director of the Association shall have served as a qualified trustee of an Active or Academy member board of education for at least one year and have completed the Fundamentals of School Board Service course (CBA 101) at the time of his or her nomination to office.” Consideration will also be given to participation in MASB events and the overall makeup of the Board as a reflection of the MASB membership.
Certification (CBA)*Award of MeritAward of DistinctionMaster BoardmemberMaster DiamondMaster PlatinumPresident's AwardOther
Election Statement: Please state your ideas and concerns about education, your experience (work and/or education, committee service, etc.) and why you wish to serve on the MASB Board of Directors. The election statement must not exceed 400 words.*

0/400
Please provide a professional color photo for MASB use. Photos of poor quality won't be used.

jpg, jpeg, png only
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Should be Empty:

2026 Board of Directors Appointment Submission: Regions 3 & 4