TestMic Speakers Society Club Application Form

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This document serves as the official note of intent for the chartering of a Testmic Speakers Society Chapter, dedicated to expanding accessible public speaking training, fostering self-confidence, and empowering individuals to become effective communicators.

Email *

LEAD CONVENER INFORMATION

We'd like to know a couple of things about you.

First Name *

Last Name *

Mobile / WhatApp / Viber *

Student / Profession *

Organization / Affiliation *

Current residential address *

Have you already led a particular group in the past? (i.e. class president in my school, operations manager handling at least 10 people, or leader of cause-oriented group in my community. *

Yes

What's the name of the group, organization, community you have led? *

PROPOSED LOCAL CHAPTER

We'd like to know a couple of information about your proposed local chapter

Propose Club Name (i.e. TestMic Speakers Society of Globe Cebu) *

Municipality/City/Province of Operations *

Club Category (School, Corporate/Government, Community) *

School

Corporate

Government

Community

Proposed Specific Regular Meeting Venue (i.e. Audio-Visual Room, Navy Education Training Command) *

Do you already have at least 10 charter members? At least 10 members are required to continue your application. *

Yes

Target Date of Face-to-Face Club Induction *

YYYY

DATA PRIVACY COMPLIANCE

By filling up this form, you entrust with us your personal data and information in accordance with the Data Privacy Act of 2012. You also agree that we will use these information on matters related to the thrust, functions, and mandate of our organization and its partners.

CONSENT

By typing your full legal name (FIRST NAME / MIDDLE NAME / LAST NAME, you attest that all information you provided is correct.

A copy of your responses will be emailed to the address you provided.

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