LA PBL State Officer Application
Congratulations on taking the first step to becoming a Louisiana Phi Beta Lambda State Officer. The application must be complete to be considered for office. Remember to have your adviser e-mail a letter of recommendation to the State Adviser (stateadviser@lapbl.org) by the application deadline: March 1, 2015
Office Sought *
Applicant Information
First Name *
Your answer
Last Name *
Your answer
Chapter Name *
*School Name*
Your answer
Street Address *
Your answer
Address Line 2
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Cell Phone *
Your answer
E-mail Address *
Your answer
School Class for Next Year *
Required
College Major *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Chapter Adviser Information
First Name
Your answer
Last Name
Your answer
E-mail Address
Your answer
Cell or Work Phone
Your answer
Nickname (if applicable)
Your answer
Number of Years in PBL
Your answer
Number of Years in FBLA
*Can be 0-4 years*
Your answer
Number of Years in FBLA-Middle Level
*Can be 0-6 years*
Your answer
FBLA-PBL Offices Held & Terms of Office
Your answer
Business Courses Taken or Currently Enrolled *
Your answer
Awards, Honors, Special Recognition, Leadership Positions
Your answer
Official Bio
Write a biography about yourself. Look at www.fbla-pbl.org under Phi Beta Lambda National Officers for examples.
Your answer
Career Goals/Aspirations & Other Items of Interest About You
Your answer
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