Region 4D House of Delegates TSTA House of Delegates NEA Representative Assembly Nomination Form Please indicate which HoD you would like to be nominated for by placing a check on the line next to the appropriate HoD. You may nominate yourself for al! three. Region 4D House of Delegates TSTA House of Delegates (Saturday, February 21, 12:00 pm, TBD) (Fr. & Sat, April 10-11, Frisco, Texas) NEA Representative Assembly (uly Ast ~ 6th, Ovando, FL) (PLEASE PRINT) NAME:, WORKSITE: EMAIL: HOME ADDRESS: HOME CITY:. STATE:. ZIP: HOME PHONE:. CELL PHONE:. ETHNICITY: POSITION TITLE:. L certify that the above information is correct. SIGNATURE:, DATE: Please return via DISD Mail (BOX 118); (214-821-0219) or in person to NEA-Dall ‘S. Mail (6500 Greenville Ave. Suite 520, Dallas, TX 75206) via fax 5:00pm, Friday, January 9, 2015,