FCCLA State Executive Council/Region Team Visit Request

FCCLA State Executive Council/Region Team Visit Request
Name of Contact Person*

First NameLast Name
Contact Person's Email
example@example.com
School Name
Contact Person's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Name of Meeting / Event*
Meeting / Event Date*

MonthDayYear
Date
Start Time*

Hour Minutes

AM/PM Option
End Time*

Hour Minutes

AM/PM Option
Requested Arrival Time of SEC Member and/or Region Team *

Hour Minutes

AM/PM Option
State PresidentFirst Vice PresidentVP of Community ServiceVP of Competitive EventsVP of MembershipVP of ProgramsVP of Public RelationsState HistorianState SecretaryRegion 1 Officer TeamRegion 2 Officer TeamRegion 3 Officer TeamRegion 4 Officer TeamRegion 5 Officer TeamRegion 6 Officer TeamRegion 7 Officer TeamRegion 8 Officer TeamRegion 9 Officer TeamAny Available State or Region OfficerCaitlin Roberson, Executive Director
Give greetingsSpeak on a topicProvide teambuilding
Details about the event (how long the officer will speak, topics, other engagement activities, etc.)*
In-PersonVirtual
Meeting/Event Location*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Official DressPolo and Black Dress PantsCasual - FCCLA T Shirt and Jeans
Should be Empty: