Interact Officer Intent Form

Interact Officer Intent Form Fall 2009 Na me : __________________________________________ Phone Number: _____________________________ Grade Level: ________ 4th Period Classroom: Room: _____________Teacher: ____________________________ Please indicate your first and second preferences for the following offices with by placing the numbers (1) and (2) in the respective boxes below: President (1) Vice President (1-2) Secretary (1)

(If you desire the office of president it must be your 1st choice and you must talk with the advisor (Mrs. Muller), before submitting your application, about the extreme commitment and responsibility this position demands)

Treasurer (1) Publicist (2) Membership Chair (1) Historian (1) Director (2) Total of 10-11 positions (Numbers next to each position indicate the number of positions available for each office) In case of scheduling conflicts, are you willing to reschedule your commitments to better serve Interact and its goals?

Ple dge/T erms of Agr eement: If nominated as officer, I promise to fulfill my assigned duties, to attend all general and officer meetings, and to serve the community and the club with my talents and time. If, for whatever reason, I cannot fulfill my responsibilities as an officer outlined in the Roles and Responsibilities for Interact Officers, I will promptly resign for the cause of allowing the club to maintain strong leadership (Signature here) Short answer section: (This section will allow the committee of reviewing officers and advisor get to know you better in order to evaluate your potential to serve as an officer for the coming term.) Describe any prior leadership or community service experience. (especially Interact related activities)

_________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ What is the primary reason for why you think you should be an officer in your desired office?

_________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ How do you plan to manage your other time commitments so that they do not interfere with your dedication to Interact and your attendance to regular meetings including regular officer meetings and a sizable amount of the club’s community projects?

_________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________ Tell us here about any suggestions you have that would improve the running of the club based on your previous experience (e.g. new projects, ways to improve meetings, etc.) and/or any plans for how you could become more active in and expand the parameters of your desired leadership position. (Use a separate piece of paper if necessary)

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