2025-2027 District Nine Program Team Member Application / Interest Form

Altrusa is a builder of leaders, and one of the most rewarding ways to grow your leadership skills is by serving on a District Program Team. These teams offer meaningful opportunities to collaborate, contribute, and expand your impact within Altrusa and your community.

If you are interested in serving on a specific Program Team, please complete the information form below. Your submission will be shared with the appropriate Program Team Leader(s) for review and consideration.

We look forward to discovering where your Altrusa leadership journey will take you next!

Discover Your Altrusa Journey!

Kimberly Kierce, Governor

Altrusa District Nine

DistrictNineAltrusa@gmail.com

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Altrusa Club Name: *
Name (Last, First): *
Email Address: *
Phone Number: *
Year your Altrusa journey began (i.e. year joined) *
List the leadership role(s) you have served (inside and outside of Altrusa). *
Have you previously served on a District Program Team? (Yes / No ) If yes, please specify team and year(s). *
Program Team(s) You Are Interested In Serving On:   *
Tell us briefly why you're interested in serving on this team(s): *
Relevant Skills, Experience, or Interests: *
Any additional information to be considered? *
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