FCCLA State Executive Council REQUEST FORM

FCCLA State Executive Council REQUEST FORM

Requests must be made at least two weeks prior to event
Name of contact person:
State Officer Requested
Contact’s email address:
example@example.com
School Name:
School Address

School Address

Street Address Line 2

City/State/ZipState / Province

Postal / Zip Code
School Phone:
Cell Phone:
Name of meeting:
Region:
District:
Virtual Platform or In-Person Meeting
Choice of virtual platform meeting:

Microsoft Teams:Google Meets:Zoom:
Date of Meeting

MonthDayYear
Date
Meeting Time:
Officer Responsibilities

Install OfficersWorkshopSpeak about specific topic as assembly or meetingOther
Present a workshop
Topic: blank
Length of Workshop: blanks
Number of Attendees: blank
Give greetings for blanks minutes
Location of event and directions:
Appropriate Dress for State Officer:

official dressOfficer Polo
Location of event and directions:

Roundtrip mileage at .50 cents per mile will be paid to the council me mber. Mileage will be paid to chapter adviser when the adviser uses his/her own car. Mileage is not paid when a school car is used unless the school requests the mileage be paid to the school.Lodging will be provided if an overni ght stay is required.Council members traveling during a mealtime will be reimbursed for the meal at the state rate or provided a meal by the requesting chapter/district/region. (Breakfast - $7.00, Lunch $10.00, Dinner - $15.00)
OFFICE USE ONLY:
Name of FCCLA SEC Member Assigned:
Should be Empty: