ACSA COMMITTEE MEMBER RECOMMENDATION FORM
For the Retirement Committee
Purpose of Committee: To provide leadership, direction, clarification, and understanding of the California State Teachers’ Retirement
System and California Public Employees’ Retirement System to all ACSA members. To actively work with other members of the retirement coalition to
protect and enhance the benefits of the California State Teachers’ Retirement System and the California Public Employees’ Retirement System. To
investigate and promote legislation that positively impacts and affects members of both systems. To encourage the continued participation, involvement
and service of retired ACSA members in the cause of improving the benefits of the California State Teachers’ Retirement System and the California
Public Employees’ Retirement System.
Responsibilities of committee members:
• Provide leadership at the region level for the region level
committee
• D
isseminate information from committee meetings to
reti
rement leaders at the region level
• Contribute articles, when called upon, to region
News
letters
• Attend three state committee meetings.
• Serve as a representative for the Retirement
Committee on other related committees with other
organizations.
• Initiate discussions at state committee level about
regio
nal issues which have statewide impact.
Ability to: Experience:
• Dedicate time to Retirement Committee in addition to
regular work responsibilities, if applicable.
• Serve as a Retirement Committee representative
on CalSTRS client advisory, other STRS committees.
• Help
plan retirement sessions at Annual Conference.
• Attend a lobby day at State Capitol, when applicable.
Committee Member Being Replaced: Term:
Committee Member Recommended:
Name Social Security #
Title District School
Address
(Street) (City) (State) (Zip)
Telephone Fax E-mail
Superintendent of District
Superintendent's Address
Nominee's previous ACSA State, Regional or Charter activities:
• Please be sure to check the appropriate box for affirmative action: Male Female
African/American Asian Caucasian
Eskimo – American Indian Filipino Latino Pacific Islander
Special Instructions:
• Before you return this form, check to be sure the person recommended is an ACSA member. You are welcome
to contact the ACSA Membership Department at (650) 692-4300 if you are unsure.
• Be sure that you do not recommend any member who has already served a full three year term.
• Members may serve on only one ACSA State Committee at a time.
REGION: REGION PRESIDENT:
DATE:
_______________
Return completed forms to: Lori Allred, Exeuctive Assistant
AC
SA
, 1029 J Street, Suite 500, Sacramento, CA 95814
