Form 9-16 - Pre-Election Challenge Petition - Chicago Public Schools - 2016
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1C
P
S
– 2016 L
S
C
E
HICAGO
UBLIC
CHOOLS
OCAL
CHOOL
OUNCIL
LECTION
F
9-16
ORM
P
-E
C
P
RE
LECTION
HALLENGE
ETITION
THIS FORM MUST BE FILED IN THE LAW DEPARTMENT AT 1 NORTH DEARBORN STREET, SUITE 900 OR FAXED TO (773) 553-1769
NO LATER THAN 5:00 P.M., MARCH 11, 2016. (CHALLENGER MUST REQUEST AND RETAIN A FAX RECEIPT).
Please print. (A separate petition for each candidate challenged is required.)
This is a challenge to:
_____________________________________________________, a Candidate at ___________________________________ School as a:
NAME OF CANDIDATE
NAME OF SCHOOL
N
PARENT
COMMUNITY
TEACHER
ON-TEACHER STAFF
STUDENT
The undersigned Challenger has evidence that, as of the candidate filing deadline, the candidate is ineligible to serve as a
local school council member for one or more of the reasons checked below (check all that apply).
All Candidates
□
Did not submit the required forms of identification
□
Did not file or complete a Candidate Nomination Form [Form 1-16]
□
Did not file or complete a Criminal Conviction Disclosure Form ("CCDF") [Form 2-16]
□
Did not disclose a conviction of a criminal offense listed in the CCDF
□
Was convicted of a criminal offense listed in Section One of the CCDF
□
Was convicted within less than ten (10) years of a criminal offense listed in Section Two of the CCDF
□
Is a relative of the Principal
Parent Representative Candidates
Is not the parent or legal guardian of a student currently enrolled in and attending the school
Other (specify): _____________________________________________________________________________________
Community Representative Candidates
Is not at least eighteen (18) years of age
Does not reside within the school’s attendance area or voting district boundaries (for city-wide enrollment schools)
Is the parent or legal guardian of a student currently enrolled in and attending the school
Other (specify): _____________________________________________________________________________________
Teacher/Non-Teacher Staff Representative Candidates
Does not perform the majority of his/her duties at the school
As a Teacher Candidate: is not in a position for which a teaching certificate is required
As a Non-teacher Staff Candidate: is in a position for which a teaching certificate is required
Is an Assistant Principal is at the school
Other (specify): _____________________________________________________________________________________
High School Student Representative Candidates
Is not a full-time student of the school
Other (specify): _____________________________________________________________________________________
Statement of Challenge: Please explain the reason(s), to the best of your knowledge, why the candidate is ineligible to be
a candidate for, or to serve on, the local school council (attach supporting documents and additional pages if
necessary):
Name of Challenger (Print): _________________________________ Signature: _________________________________________________
Home Address: _________________________________________ City: ______________________ State: ______ Zip Code: _____________
Home Telephone Number: _________________________________ Second Telephone Number: ________________________________
Email Address:
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