Club Officer Interest Form

Please cross off the officer positions that you are NOT interested in. Then, for those that
do interest you, indicate by numbering from 1 to … your preferences,
1 representing highest interest. Information gathered from this survey will be used to select
candidates for Club Officers by the Nominating Committee.

President Assistant to the President

Vice President of Education Assistant Vice President of Education

Vice President Membership Assistant Vice President Membership

Vice President Public Relations Assistant Vice President Public Relations

Secretary Assistant Secretary

Treasurer Assistant Treasurer

Sergeant at Arms Assistant Sergeant at Arms

Reason to be consider for position:

Name: ______________________________ Date: __________________