Willingness to Serve for TCORN Elected Office and Committees

Personal Information

Name: Preferred Phone: When is the best time to call?: Daytime    Evening    E-mail:

Selections

Please indicate your willingness to serve in each of the following positions. You may select as many positions as you like. You MUST respond to EACH QUESTION in RED and complete the narrative at the bottom in order to SUBMIT.

President-Elect Yes No I would be willing to chair the Nominating Committee if appointed Yes No I would be willing to serve on the Conference Planning Committee Yes No I would be willing to chair the Conference Planning Committee if appointed Yes No Vice President Yes No Secretary? Yes No Board Member Yes No Please cite your interest in the position(s) and your qualifications for meeting the position requirements. I would be willing to serve on the Membership Committee Yes No I would be willing to chair the Membership Committee if appointed Yes No I would be willing to serve on the Legislative Committee Yes No I would be willing to chair the legislative Committee if appointed Yes No I would be willing to serve on the Nominating Committee Yes No