1152 Club Coach Appointment (1) - Vellore Toastmasters Club PDF

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CLUB COACH

APPOINTMENT

Vellore Toastmasters Club


Club Name ____________________________________________  Club Number _____________________ 
06879130 District ____________
120

Name______________________________________
Arunesh Natarajan Name__Sameer
______________________________________
Sharma

Member Number_____________________________
6823450 Member Number______________________________
6092903

Address__Nirav
___________________________________
Katyal, E-110 Vellore Institute of Technology 63/33 Venkatarathinam Nagar, Adyar
Address______________________________________

City________________________________________
Vellore Chennai
City_________________________________________

State/Province_______________________________
Tamil Nadu Tamil Nadu
State/Province________________________________

Country____________________________________
India Country______________________________________
India

Postal Code_________________________________
632014 600020
Postal Code___________________________________

Home Club Number__01600941


_________________________ Home Club Number____________________________
02441171

A club must have at least one but not more than 12 members to qualify for a club coach appointment.

Up to two club coaches may be appointed per club. A club coach is recognized and receives credit if the club to which
he or she is assigned achieves Distinguished Club or better by June 30 of the current year or by the following June 30.
Coaches may not be a member of the club at the time of the appointment.

________________________________   Approved by: ______________________________________________________________


APPOINTMENT DATE DISTRICT DIRECTOR OR CLUB GROWTH DIRECTOR

4This form must be submitted to World Headquarters at the time of appointment.

4A club must have at least one but not more than 12 members when a coach is appointed, and the coach cannot be a
member of that club until their appointment request has been processed.

4This form can be submitted by email to clubcoach@toastmasters.org

Rev. 5/2016  Item 1152

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