Chapter Leadership Team Form
In-Coming Chapter Leadership Team: 2023-2024 Term
Please FULLY complete the following form:
Only members who are willing to complete the online BNI Business Builder role training and attend the September Leadership Team Summit may serve on the Leadership Team. Please fill out all the Leadership Team roles a submit one time.
Chapter Name
*
Submitted By
*
First Name
Last Name
Your Email
*
Has your Leadership Team been APPROVED by your BNI Director?
*
Yes
No
President
*
First Name
Last Name
President Email
*
President Phone Number
*
Vice President
*
First Name
Last Name
VP Email
*
VP Phone Number
*
Secretary/Treasurer
*
First Name
Last Name
Sec/Treas Email
*
Sec/Treas Phone Number
*
MC - Quality Assurance
First Name
Last Name
QA Email
QA Phone Number
MC - Community Builder
First Name
Last Name
CB Email
CB Phone Number
MC - Member Engagement
First Name
Last Name
ME Email
ME Phone Number
MC - Member Relations
First Name
Last Name
MR Email
MR Phone Number
Mentor Coordinator
First Name
Last Name
Mentor Email
Mentor Phone Number
Visitor Host Coordinator
First Name
Last Name
VHC Email
VHC Phone Number
Visitor Host 1
First Name
Last Name
VH1 Email
VH1 Phone Number
Visitor Host 2
First Name
Last Name
VH2 Email
VH2 Phone Number
Visitor Host 3
First Name
Last Name
VH3 Email
VH3 Phone Number
Education Coordinator
First Name
Last Name
EC Email
EC Phone Number
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