FBLA State Officer Visit Request

FBLA State Officer Visit Request Form

Use this form to request a state officer to visit your school.
Adviser Name*

First NameLast Name
Person requesting visit (if different from above)

First NameLast Name
School*
Email (Confirmation will be sent here)*
Who would you like to visit? (can request more than one person)*

State President (Yaelyn Chavez, Roosevelt)VP of Service (Shriya Ginjupalli, Grandview)VP of Education (Annabelle Rusco, Roosevelt)VP of Progress (Lauren Anderson, Pine Creek)District 2 State Officer (Anthony Bermudez, Longmont)District 3 State Officer (Lyndi Huelskamp, Flagler)District 4 State Officer (Addison Hoozee, Prairie)District 5 State Officer (Vivian Yang, Grandview)District 6 State Officer (Josephnie Langdon, Ellicott)District 10 State Officer (Isabella LeBoeuf, Arapahoe)District 11 State Officer (Mahathi Jasty, Legend)District 12 State Officer (Caleb Cole, Cherry Creek)
Please note: if you request an in-person visit for an officer who lives outside of your district, your chapter will be responsible for reimbursing their mileage costs.
Preferred Type of Visit*

VirtualIn PersonNo preference
Location of where you would like the officer to visit*
Date when you would like to have the officer visit*

MonthDayYear
Date
Time when you would like to have the officer visit*

Hour Minutes

AM/PM Option
Alternate date when you would like to have the officer visit

MonthDayYear
Date
Alternate time when you would like to have the officer visit

Hour Minutes

AM/PM Option
Short description of the meeting or event that the officer will be attending (chapter visit, installation, celebration, ...)*
Short description of officer expectations (presentations - about FBLA in general, conferences or competitive events - ice breakers, lead officer or member installation, Q&A, etc.)*
Should be Empty:

FBLA State Officer Visit Request Form