District 100 Leadership Application

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If you are a candidate for a District leader position, please complete this form and submit it. Submissions for this form will go to the District Director and the DLC. The qualifications on this form are stated in the District Administrative Bylaws of the Toastmasters governing documents. Remember that candidates not meeting these qualifications cannot be considered for office.

Name

Email

Member Number

Position:

Please Confirm the Below Requirements for All Candidates:

Candidate is a member or will be a member of a club in District 100.

Candidate has submitted or will submit the District Leader Agreement and Release Statement form or PDF.

Have you been a member of District 100 for the past twelve months, or a member of District 100 for twelve consecutive months within the past three years?

Yes

Have you served six consecutive months as a Club President?

Yes

Club Name and Year Served as President:

Have you served twelve consecutive months as a Program Quality Director, Club Growth Director, or Division Director?

Yes

Which Role? (Select the highest.)

Years

Have you served twelve consecutive months as a Program Quality Director, Club Growth Director, Division Director, or Area Director?

Yes

Which Role? (Select the highest.)

Years

Have you served six consecutive months as a Club President, Club VP Education, or Area Director?

Yes

Which Role? (Select the highest.)

Year