Sponsor/Mentor/Coach Interest Form
Contacts:
Sponsor Chair: clubsponsor@d50tm.org
Mentor Chair: clubmentor@d50tm.org
Coach Chair: clubcoach@d50tm.org

Brief Description:
Club Sponsor - Help establish a new club from inception to chartering.
Club Mentor - Help mentor a new club for six months after chartering.
Club Coach - Revitalize clubs with 12 or fewer members, coaching them to become Distinguished.
Email *
Name *
90Phone number (Preferably Cell for faster communication) *
Residence Address (Required for club coach)
Home Club *
Current Toastmasters Educational Level *
Which of the following roles are you interested in? (May select more than one) *
Required
Do you need one of these roles to get your DTM by June 2021? *
Preferred Meeting Times (check all that apply) *
Required
Preferred Locations (ex. 15 miles from Plano, Addison, etc...)
Additional Considerations
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