Thank you for expressing an interest in hosting a Leadership Training team member at your meeting. In order for us to process your request, please complete this survey and we will get back to you shortly.
Please contact Karen Patti, Director of  Leadership, with any questions at kpatti@fcclainc.org.

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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 2019-2021 Leadership Training Team 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. Below is a list of expenses that you agree to cover. 
  • Transportation To/From Meeting
  • Lodging
  • Meals
  • A/V Equipment
  • Supplies/Printing
  • $250 stipend paid directly to LTT member

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* 14. Once this request is submitted, FCCLA will coordinate with the requested LTT member to ensure availability and willingness to participate. Following this confirmation, FCCLA will send a signed Memorandum of Understanding for your review and signature.

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 have a signed MOU prior to making arrangements for the LTT member to participate in the meeting.

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