2020-2021 National Officer Request Form

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* 1. Requested By:

Name: *

Chapter/Region/State: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

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* 2. Meeting & Location Information:

Meeting Name:

Meeting Location:

Location Address, City, Zip:

Meeting Location Phone Number:

Meeting Dates:

Meeting Theme or Focus:

Anticipated Attendance:

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* 3. Which member(s) of the 2020-2021 National Executive Council are you requesting?

Supriya Patel, President (MN)

Hannah Jones, First Vice-President (KY)

Weston Buhr, Vice-President of Community Service (CO)

Melanie Mendonca, Vice-President of Competitive Events (NJ)

Faith Honey Anderson, Vice-President of Development (WY)

Kaden Fox, Vice-President of Finance (KS)

Logan Justice, Vice-President of Membership (KY)

Bellamy Wooten, Vice-President of Parliamentary Law (TX)

Regan Rhymes, Vice-President of Programs (NC)

Brynley Jones, Vice-President of Public Relations (GA)

No Preference (National FCCLA will choose someone who is available and able to meet meeting needs)

Additional Requests/Information

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* 4. Requested Date of Arrival:

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* 5. Requested Arrival Time:

Morning

Afternoon

Evening

No Preference

Additional Arrival Information:

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* 6. Requested Date of Departure:

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* 7. Requested Departure Time:

Morning

Afternoon

Evening

No Preference

Additional Departure Information:

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* 8. Presentation Request 1

Date/Time:

Presentation Type (keynote, workshop, greetings, etc.):

Topic:

Audience (student, adviser, etc.):

Audience Size:

Additional Information:

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* 9. Presentation Request 2

Date/Time:

Presentation Type (keynote, workshop, greetings, etc.):

Topic:

Audience (student, adviser, etc.):

Audience Size:

Additional Information:

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* 10. Presentation Request 3

Date/Time:

Presentation Type (keynote, workshop, greetings, etc.):

Topic:

Audience (student, adviser, etc.):

Audience Size:

Additional Information:

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* 11. Presentation Request 4

Date/Time:

Presentation Type (keynote, workshop, greetings, etc.):

Topic:

Audience (student, adviser, etc.):

Audience Size:

Additional Information:

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* 12. Presentation Request 5

Date/Time:

Presentation Type (keynote, workshop, greetings, etc.):

Topic:

Audience (student, adviser, etc.):

Audience Size:

Additional Information:

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* 13. Check expenses that you agree to cover:
(*National headquarters is not responsible for any NEC expenses when requested by a state or chapter.)

Transportation To/From Meeting

Lodging

Meals

A/V Equipment

Supplies/Printing

Additional Information

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* 14. Once this request is submitted, FCCLA will coordinate with the requested officer(s) to ensure availability and willingness, as well as grant approval from the national office for the officer to travel. Following this, both the requester and officer(s) will receive contact information of the other party to begin making travel arrangements and meeting plans. Please do not make arrangements for the officer prior to receiving further information from FCCLA. Please contact Karen Patti, Director of Leadership, with any questions at kpatti@fcclainc.org.

By checking this box, the requester verifies that all information above is accurate to the best of their knowledge and they understand national FCCLA must approve the request prior to making arrangements for the officer to travel.

I agree

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* 1. Requested By:

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* 2. Meeting & Location Information:

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* 3. Which member(s) of the 2020-2021 National Executive Council are you requesting?

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* 4. Requested Date of Arrival:

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* 5. Requested Arrival Time:

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* 6. Requested Date of Departure:

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* 7. Requested Departure Time:

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* 8. Presentation Request 1

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* 9. Presentation Request 2

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* 10. Presentation Request 3

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* 11. Presentation Request 4

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* 12. Presentation Request 5

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* 13. Check expenses that you agree to cover:(*National headquarters is not responsible for any NEC expenses when requested by a state or chapter.)

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* 13. Check expenses that you agree to cover:
(*National headquarters is not responsible for any NEC expenses when requested by a state or chapter.)