2020-2021 National Officer Video Request Form

Question Title

* 1. Requested By:

Name: *

Chapter/Region/State: *

Address: *

Address 2:

City/Town: *

State: *

ZIP: *

Email Address: *

Phone Number: *

Question Title

* 2. Meeting information and location of where video will be shown (if applicable):

Meeting Name:

Meeting Location:

Location Address, City, Zip:

Meeting Location Phone Number:

Meeting Dates:

Meeting Theme or Focus:

Anticipated Attendance:

Not applicable

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* 3. If you request is for purposes other than a meeting, please explain request here.

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* 4. Which member(s) of the 2020-2021 National Executive Council are you requesting for your video?

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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* 5. Requested due date/length of video:

Date:

Length of video:

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* 6. Presentation Request Information (if applicable)

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

Topic:

Audience (student, adviser, etc.):

Additional Information:

Preferred Connection Method (e.g. Skype, Zoom, Webinar Service, etc.):

Connection Account Name/Number (e.g. Skype Username, if applicable and available):

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* 7. 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. Following this, both the requester and officer(s) will receive the contact information of the other party so they connect to finalize details of video.

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 plans with the officer.

I agree