2021-2023 International Officer Candidate Information Form

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As with any lengthy online form, it is highly recommended to first type your answers into a Word document or other document type. Then copy/paste your answers into this online form.

Candidate's Name: *

First & Last Name

Candidate for the office of:

Name at time of initiation, if different:

Address:

Street Address

Street Address Line 2

City State / Province/ Nation

Postal / Zip Code

Cell Phone: *

Area Code Phone Number

Submitter Email: *

Year Initiated:

Chapter initiated into:

S/P/N and Chapter

Currently a Member of:

S/P/N and Chapter

I. International Conventions Attended (year only, beginning with the most recent):

II. Regional Conferences Attended (year only, beginning with the most recent):

III. Term of office as chapter president (S/P/N & Chapter; Years):

IV. Term of office as S/P/N president (S/P/N & Chapter; Years):

V. Leadership Experience (For each level, list accurate information in chronological order, including dates, beginning with the most recent):

Information will be verified in order to certify the candidate meets all qualifications.

A. International Level

1. International Offices:

2. International Standing Committees:

Those that report at the Convention, for example, Educational Symposium Committee

3. International Committees served as part of of your International Chapter Office or IEB work, such as Minutes Review Committee:

4. Service at the International level, such as Sergeant-at-Arms at Convention, presenting at the Educational Symposium and singing in the International Choir during conventions:

B. Regional Level:

C. State/Provincial/ National Level:

VI. Non-AΔK Organizations, Offices and/or Honors (List by Date/ Organization/ Honors or Offices):

List no more than FIVE organizations of which you are a member AND offices and/or honors you have received in the last 12 years. You may list service as an officer, committee chairman or member of the executive board, if appropriate.

VII. Compose an essay (in paragraph form, no poems or acrostics) of no more than 100 words to answer the following questions: What do you see as the most important priority for moving Alpha Delta Kappa forward in the next biennium? How would you lead sisters to help accomplish this priority? The first 100 words will be published. A∆K will be counted as three words; "a," "and," & "the" are counted as words.

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By submitting your photo, you are giving Alpha Delta Kappa permission to use your photo in its publications.

*A candidate is not permitted to change the office for which she applied.

Candidates must submit their application online by 11:59 P.M. CT on November 1, 2020, including uploading one digital 2" wide x 3" high headshot photo, dpi minimum 300. You will receive confirmation by email; candidate information and photos will be printed in the March 2021 KAPPAN.