2021-2023 Volunteer Application for International Committees and Boards

2021-2023 Volunteer Application for International Committees and Boards

Thank you for expressing an interest in serving on an International Committee or Board. This information form will be kept on file for future reference in making appointments to International Committees and Boards. It does not ensure an appointment. Deadline is March 1, 2021.
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*S/P/N = State/Province/Nation
Name *

First Name Last Name
Address

Street Address

Street Address Line 2

City State/Province/Nation

Postal/Zip Code
Phone Number

Area Code Phone Number
Email *
example@example.com
Cell Number

Area Code Phone Number
Year initiated
Initiated into
S/P/N and Chapter
Currently a member of
S/P/N and Chapter
I. Leadership (List information in chronological order, including dates, beginning with the most recent)
Chapter, S/P/N, Regional and International Level(s)
II. Other Leadership Experience
III. Convention/Conference Participation
International Conventions Attended
Year Only
S/P/N Conventions Attended
Year Only
Regional Conferences Attended
Year Only

IV. International Committees/Boards

Very Interested

Interested

No Interest

Altruistic

Bylaws

Candidate Qualifications

Educational Symposium

Excellence in Education

Fine Arts Grants

International Teacher Education Board

ARGO (Agnes Robertson Global Outreach) Scholarship

Membership

Resolutions

World Understanding

Regional Professional Development Scholarship

A∆K Future Educators Scholarship

Classroom Grant

Innovation Grant

2023 International Convention

V. Would you beinterested in serving on an ad hoc committee (a short-term committee)?
VI. In one paragraph (100 words maximum), give a statement as to the abilities/ talents/ strengths you would bring to a committee, including your areas of expertise.

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