Form 58 - Appointed Officer Application Form

Form 58 - Appointed Officer Application Form

Due January 15 each year
Office You Are Applying For*

Executive Secretary (3 year contract)Editor of Grit (1 year contract)Webmaster (1 year contract)Director of Expansion and Growth (3 year term)
Name of Candidate*

First NameLast Name
Chapter Name*
Chapter City & State*
How long has the candidate been a member of Delta Theta Tau Sorority?*
How long has the candidate remained an active member for?*
Phone Number*
Please enter a valid phone number.
Candidate's address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Candidates Email*
Chapter Officers Held & Year:*
Province Leadership:*
National Offices Held & Year*
Other Organization or Club Activities:*
Business Experience*
Please attach a Cover Letter and letter of recommendation from your Chapter describing your qualifications for this position*

Cancelof
Please provide samples of work (for Executive Secretary, Editor of Grit and Website only)

Cancelof
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I have read and understand the responsibilities involved in becoming a national officer, as stated in this cover letter.
Signature of Candidate*

Clear
Signature from another Chapter officer other than yourself*

Clear
Should be Empty: