SAMPLE JOINT/BRACKET NOMINATING PETITION FOR ANNUAL SCHOOL ELECTIONS. TO:, County Clerk of the County

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SAMPLE JOINT/BRACKET NOMINATING PETITION FOR ANNUAL SCHOOL ELECTIONS Certain County Boards of Elections require the use of a county specific nominating petition. Please contact your County Board of Elections for details. TO:, County Clerk of the County A. NOMINATING STATEMENT: We, the undersigned, are qualified voters of the School District of (Municipality) in (County), New Jersey. We hereby endorse the following as candidates for membership on the above named Board of Education and we hereby request that the names of said candidates be printed on the official ballot to be used at the ensuing election for the Board of Education to be held, 20. 1. Candidate Name* Residence & 2. Candidate* Residence & 3. Candidate* Residence & 4. Candidate* Residence & *Required pursuant to N.J.S.A. 19:60-5

DESIGNATION (Optional. No more than three words that convey the principles which the candidates represent, but no designation may contain the name, or a derivative or any part thereof, used as a noun or an adjective, of any political party that is entitled to participate in a primary election.) B. SIGNATORIES: We, the undersigned petitioners, hereby certify that the said (Name of Candidate) is legally qualified under the laws of the State to be elected a member of the Board of Education. (At least ten signatures, one of which may be the candidate s, are required to nominate a candidate.) # NAME ADDRESS SIGNATURE 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12.

C. AFFIDAVIT:, circulator of this nominating petition, being duly sworn or affirmed according to the law on oath, deposes and says: The present petition is signed by each of the signers thereof in his/her own handwriting; the signers are, to the best of my knowledge and belief, legally qualified to vote at the school district election for which the candidates are nominated; and that the petition is prepared and filed in absolute good faith for the sole purpose of endorsing each candidate and placing the candidate s name on the official ballot in order to seek election as a member of the Board of Education. The circulator further affirms that he/she is eligible to vote in the state of New Jersey, and meets the age, citizenship and residency requirements as required by New Jersey law. (Circulator s signature) (Typed or printed name of circulator) SWORN OR AFFIRMED AND SUBSCRIBED BEFORE ME THIS DAY OF, 20 (Affix notary stamp here) Notary Signature Printed or typed name of notary My commission expires, 20

D. NOTICE All candidates are required by law to comply with the provisions of The New Jersey Campaign Contributions and Expenditures Reporting Act, N.J.S.A. 19:44A-1 et seq. For further information, please call the Election Law Enforcement Commission, (609) 292-8700. E. CANDIDATE S ACCEPTANCE/OATH OF ALLEGIANCE I,, a candidate for membership of the board of education named in the foregoing petition, do hereby certify that I am qualified to be a member of the Board of Education; that I consent to stand as a candidate for election and, if elected, agree to accept and qualify into that office. I further affirm and declare I am not disqualified as a voter pursuant to N.J.S.A. 19:4-1, nor have I been convicted of a disqualifying crime pursuant to N.J.S.A. 18A:12-1. I further do solemnly swear (or affirm) that I will support the Constitution of the United States and the Constitution of the State of New Jersey and that I will bear true faith and allegiance to the same and to the Governments established in the United States and in this State, under the authority of the people. So help me God. SWORN OR AFFIRMED AND SUBSCRIBED BEFORE ME THIS DAY OF, 20 (Affix notary stamp here) Notary Signature printed or typed name of notary My commission expires, 20

QUALIFICATIONS - Candidates filing a nominating petition for board membership must meet the following qualifications: a citizen of the United States of America at least 18 (eighteen) years of age to qualify for office able to read and write a resident of the municipality from which he/she is to be elected for at least one year preceding the date of the election not disqualified as a voter pursuant to N.J.S.A. 19:4-1 a registered voter in the district not convicted of a disqualifying crime pursuant to N.J.S.A.18A:12-1 No board of education member shall be directly or indirectly involved in any contract with, or claim against, the board. IMPORTANT INFORMATION Within 30 days of election or appointment to the board, a member must undergo a criminal history background investigation through the New Jersey Department of Education. The School Ethics Act and nepotism legislation impact the ability of board members who have relatives working in the school district to act in areas such as personnel and collective negotiations. Please consult your board secretary for details. Two or more candidates for any given term of office may notify the secretary of the board in writing or the county clerk if the annual school election is to be held in November, at least seven days before the drawing date that they wish to have their names with their chosen designation, if any, bracketed together, so that their names and designation, if any, are selected as a group at the drawing and their names and designation are printed together on the ballot. The candidates shall determine among themselves the order in which their names are to appear within the bracket prior to so notifying the secretary.

(Note: County clerks are encouraged to fill out this section prior to distribution to school board candidates.) Completed nominating petitions shall be filed with the county clerk on or before 4 p.m. July 30,2018. The county clerk office is located at (county clerk address and the days, dates and business hours during which the office is open to receive petitions are: Received by: COUNTY CLERK/DESIGNEE At: TIME DATE 6/18