Club Officer Resignation Report
Welcome to the Club Officer Resignation Report, created by the Pacific Northwest District of Circle K International! If you are currently a club president and have recently had a member of your team resign from their position, the District Board is here to help!

This report lets the District Board know that your officer board has lost a member, and we want to develop strategies to alleviate any issues, move forward, and get your club back on track to making progress. This report also helps improve transparency and communication at the club and District level, and we hope you'll work with us to solve any problems your club may be having due to the recent resignations.

If you have any questions, comments, or concerns, please contact Lieutenant Governor-at-Large Shane Petrus at shane.petrus@wsu.edu, or visit www.pnw-cki.org today.
Club President Full Name *
Your answer
What is your Division? *
Home Club *
Your answer
President Email Address *
Your answer
President Phone Number *
Your answer
Full Name of Resigned Officer *
Your answer
Email of Resigned Officer *
Your answer
Phone Number of Resigned Officer *
Your answer
Date of Resignation *
MM
/
DD
/
YYYY
Choose one or more reasons for resignation: *
Required
Please explain reasoning for resignation in detail: *
Your answer
Does the resigning officer feel that they were adequately trained? *
What did they like/dislike about their position? *
Your answer
What skills/qualifications should the next person have to fulfill the position? *
Your answer
Any questions, comments, concerns?
Your answer
Please ensure all information above is accurate.
Please type your full name as a signature. By signing below, you agree that all of the information contained in this form is accurate and up-to-date. If there are any changes to be made to your submission, please contact Lieutenant Governor-at-Large Shane Petrus via email at shane.petrus@wsu.edu.
Signature *
Your answer
Submit
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