What educationals would you like to most see at the upcoming conference?
Club Presidents and Vice-Presidents of Education can submit their club member's info for the Half-Way Certificate.
Member's Name
Club Number
Club Name
Designation Title Competent Communicator Advanced Communicator Bronze Advanced Communicator Silver Advanced Communicator Gold Competent Leader Advanced Leader Bronze Advanced Leader Silver
Name of Person Completing This Form
Email of Person Completing This Form
Position in Club President VP-Education Other
Certificate to be Sent To:
Address Where Certificate to be Sent: