| District 18 |
| District 18 Officer Nominating Form | |||||||||
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I wish to have the Nominating Committee consider the following person for the office of (circle one): | |||||||||
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| Please Print | |||||||||
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Name: __________________________________________________________________
Educational Level: (circle highest attained): CTM ATM-B ATM-S ATM-G DTM CC ACB ACS ACG ----------------------------------------------------------------------------------------------------------------------- Leadership Lever (circle highest attained): CL AL ALB ALS Address _________________________________________________ City __________________________________ State _______________ ZIP __________ Telephone (H) _____ - _____ - _________ (W) _____ - _____ - _________ FAX _____ - _____ - _________ e-mail: ________________________________________ Home Club Name _________________________________ Club No. _________________ | |||||||||
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List the Club and District offices in which this person has served and the dates of service. Describe this Toastmaster's qualifications for office and fitness to serve. Please attach any other information about this candidate that may be helpful in assisting the Nominating Committee. Use additional sheets, if necessary. | |||||||||
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| Submitted by: ____________________________________ | |||||||||
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Raymond Kane Deadline: March 22, 2008 email: Raymond1943@comcast.net |