2021-2022 Committee Interest Form
Thank you for your interest in serving on a program committee for the 2021-2022 year! Please fill out all aspects of this form honestly and appropriately. We will contact you when we receive your response.
Personal Information
Name (First and Last) *
Phone Number *
Email Address *
What is the best way to get in contact with you? *
What is your age range? (for youth protection purposes) *
Will you be under the age of 21 for the duration of your term (through Conclave 2022)? *
Lodge *
Program Selection
Which committee is your first preference? *
Which committee is your second preference? *
Which committee is your third preference? *
What experience do you have that relates to this program area? *
What do you think is the most important aspect of a successful Conclave? *
What would you add to our Conclave program to make it more exciting and innovative? *
Why should you be on this committee for SR-9? *
Would you be interested in being considered for a committee chair position? *
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