Post Officer Certification Form
The American Legion Department of Indiana
District #:
*
Post #:
*
Commander
Commander Name:
*
First Name
Last Name
Commander Member ID#:
*
Commander Email:
*
example@example.com
Commander Phone Number:
*
Please enter a valid phone number.
Adjutant
Adjutant Name:
*
First Name
Last Name
Adjutant Member ID#:
*
Adjutant Email:
*
example@example.com
Adjutant Phone Number:
*
Please enter a valid phone number.
Membership Officer
Membership Officer Name:
First Name
Last Name
Membership Officer ID#:
Membership Officer Email:
example@example.com
Membership Officer Number:
Please enter a valid phone number.
Service Officer
Service Officer Name:
First Name
Last Name
Service Officer ID#:
Service Officer Email:
example@example.com
Service Officer Number:
Please enter a valid phone number.
Certification
By electronically signing below, we certify the above officers are eligible for membership. Each is a current member and entitled to serve as an officer.
Date
*
-
Month
-
Day
Year
Date
Current Post Commander Signature (Type Name)
First Name
Last Name
Current Post Adjutant Signature (Type Name)
First Name
Last Name
Post Information
Information entered will be used in directory
Post mailing address (type "Virtual" in street address if appropriate):
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Post physical address (if different from post mailing address):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Post Phone Number:
*
Please enter a valid phone number.
Post Email:
*
example@example.com
Newly elected officers assumed duties on what date:
*
-
Month
-
Day
Year
Date
Post dues:
Are all officers who handle post finances bonded in accordance with the Department Constitution?
*
Yes
No
Post Meeting:
Post meeting day of week
*
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
"When Called / As Needed"
Other
Post meeting week of the month
*
1st week of month
2nd week of month
3rd week of month
4th week of month
Every other week
Other
Post meeting time
*
Hour Minutes
AM
PM
AM/PM Option
If "Other" is selected for meeting day and week, explain here:
Send confirmation email to:
example@example.com
Additional confirmation email to:
example@example.com
Submit
Should be Empty: