In Person Chapter Visit Sign Up
Request a date for an in person visit. You will be contacted to confirm you date and workshop details. Please complete request 2 weeks prior to requested dates.
Chapter
Advisor Name
First Name
Last Name
Advisor Email:
example@example.com
Advisor Contact that State Officer Should use:
Officer Requested (please complete a separate request for each officer)
State President-Jayda Goodson
State Secretary- Rj Garay
District I Vice President-Leandro Lopez
District III Vice President-Caden Griffin
District IV Vice President-Jarren McBride
District V Vice President-Grady Moss
District VI Vice President-Christopher Bennett
Type of Event you are requesting
Workshop
Chapter Meeting
Banquet
Other
If this is a chapter visit, what is the school schedule?
60 minute period
90 minute period
Other
How many periods would you like the officer to facilitate?
Audience/Class Size
Date Selection
Please select your top 3 dates. We will work to accommodate your schedule, best we can.
First Choice Date
-
Month
-
Day
Year
Date
Second Choice Date
-
Month
-
Day
Year
Date
Third Choice Date
-
Month
-
Day
Year
Date
Where should the officer park?
After parking, where should the officer check in?
Do you have any notes, requirements or accommodations, or special requests that the state office or state officer needs to be aware of?
Submit
Should be Empty: