Recommendation Form for Phi State Committee Appointments
2009-2011 Biennium

Recommendation Form for Phi State Committee Appointments2009-2011 Biennium

Recommendation Form for Phi State Committee Appointments
2009-2011 Biennium

Note: After completion of the Recommendation Form for Phi State Committee Appointments, send the completed form and a recent photo to:

Sue Nelson
1449 Autumn Valley
Mulvane, KS 67110

Please complete this form and return it with a December 15, OR EARLIER POSTMARK.

Note: After completion of the Recommendation Form for Phi State Committee Appointments, send the completed form and a recent photo to:Sue Nelson1449 Autumn ValleyMulvane, KS 67110Please complete this form and return it with a December 15, OR EARLIER POSTMARK.

Note: After completion of the Recommendation Form for Phi State Committee Appointments, send the completed form and a recent photo to:

Sue Nelson
1449 Autumn Valley
Mulvane, KS 67110

Please complete this form and return it with a December 15, OR EARLIER POSTMARK.

The following committees will be filled (chairmen and members) by appointment by the 2009-2011 Phi State President:
- Finance*
- Personal Growth and Services
- Achievement Award*
- Leadership Development
- Professional Affairs
- Communications
- Membership/Expansion
- Legislative/U.S. Forum
- Scholarships*
- Personnel
- Research
- Technology*
- Rules
- Music
- World Fellowships
*Revolving Committee with a four (4) year term; two (2) expiring each biennium.

A Parliamentarian will be appointed; also a convention coordinator and convention assistant coordinator who rotate during the biennium.
Please complete a separate form for each appointment to be considered. (Duplicate this page as needed.)

Please attach a recent photo.

Recommendation

Recommended for of .
First:
Middle:
Last:
Street:
City:	State: Zip Code:
Phone:
Email:

Membership & Experience

Member of: Chapter, Phi State, Delta Kappa Gamma
Present Professional Position:
Teaching and Administrative Experience:
Academic Background:
Present position(s) in Delta Kappa Gamma (Chapter, State, International):
Delta Kappa Gamma Experience (offices, committees, awards, honors, scholarships):
Chapter Level:
State level:
International level:
Community and Organizational Service Involvement:
Professional Affiliations (other than Delta Kappa Gamma):

Submitted By

Please print this form, attach a recent photo,
and send the completed recommendation with a December 15, OR EARLIER POSTMARK. to:

Sue Nelson
1449 Autumn Valley
Mulvane, KS 67110

Please print this form, attach a recent photo, and send the completed recommendation with a December 15, OR EARLIER POSTMARK to:

Sue Nelson
1449 Autumn Valley
Mulvane, KS 67110

State: Zip Code: