Toastmasters Subject Matter Expert Interest Form

Further your District 55 Leadership

Becoming a SME offers you the ability to share your knowledge and experience by helping struggling and new clubs in your area reach their full potential.

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* 1. Contact Information

First/Last Name

City/Town

State

ZIP/Postal Code

Email Address

Phone Number

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* 2. Toastmaster Club Name (Club # if known)

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* 3. Division and Area if known (ex. I52)

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* 4. What year did you become a Toastmaster

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* 5. Highest levels of Educational Achievement

DTM (Do not select anything else)

ACG (Do not select ACS/ACB/CC)

ACS (Do not select ACB/CC)

ACB (Do not select CC)

ALS (Do not select ALB/CL)

ALB (Do not select CL)

P2 (Do not select P1)

P3 (Do not select P2/P1)

P4 (Do not select P3/P2/P1)

P5 (Do not select P4/P3/P2/P1)

None

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* 6. What current Club officer position(s) do you hold

President

VP-E

VP-M

VP-PR

Treasurer

Secretary

Sergeant at Arms

None

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* 7. What prior Club officer position(s) have you held

President

VP-E

VP-M

VP-PR

Treasurer

Secretary

Sergeant at Arms

None

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* 8. What current District Leadership position(s) to you hold

Division Director

Area Director

None

Other (please specify)

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* 9. What prior District Leadership position(s) have you held

Division Director

Area Director

None

Other (please specify)

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* 10. OPTIONAL: Have you previously conducted training at a TLI

Yes

No - but I'm scheduled to conduct one before September 30, 2019