Officer/Board
Willingness-to-Serve Form



Chapter #
   
Date:
First Name:   Middle Initial:
Last Name:   S.S.#
Address:
City:   State:   Zip:
Country:
Home Phone:   Work Phone:
E-Mail Address:
 
I am aware of the eligibility requirements and responsibilities for this position and I have received a copy of the job description for the position from the policy manual.
Indicate position:
   
I am willing to serve the chapter in the position and term indicated on this form.
Indicate term of office:
   
Eligibility requirements: (all requirements must be fulfilled)
Place a check in the box to verify each requirement.
Maintained active membership status (September - August of previous year)
Attended two meetings during fall of current year. (September, October, November)
Attended at least six chapter meetings. (September - August of previous year)
Activity record is attached.
Served on at least one committee. (September - August of previous year)
Served on Board for one term. (applies only to President, President-elect, or Vice President)


     


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