Nominating Petition Test

Nominating Petition for Employee-Member of the Board - [NOMINEE NAME HERE]

By completing this form, you are providing your electronic signature on a petition requesting that [First Name Last Name], employee-member, be placed on the ballot as a regular candidate for the election of an employee member of the Retirement Board for a term of four years beginning [DATE] as provided by section 3309.06 of the Revised Code of Ohio.

"*" indicates required fields

Your Name*

Last 4 Digits of Your Social Security Number or Your Full SERS Member ID*

Your Employer (School District)*

Your County of Employment*

Today's Date*

I, the undersigned active member of the School Employees Retirement System of Ohio, do hereby petition that the name of the following employee member, [NAME], be placed on the ballot as a regular candidate for the election of an employee member of the Retirement Board for a term of four years beginning [DATE] as provided by section 3309.06 of the Revised Code of Ohio.*

I hereby certify that I have voluntarily provided the information above. By checking this box, I affix my electronic signature to the petition and confirm that my electronic signature shall have the same validity as my handwritten signature.

Nominating Petition Test

Nominating Petition for Employee-Member of the Board - [NOMINEE NAME HERE]

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