State Officer Visit Request Form
Nebraska FCCLA is committed to supporting chapters through State Officer chapter visits. State Officers may visit chapters in-person or virtually, depending on what works best for the officer and the chapter making the request.
Sign in to Google to save your progress. Learn more
Email *
Adviser's Name: *
Adviser's Email Address: *
Adviser's Cell Phone Number: *
Chapter Name: *
What is the preferred date(s) of the chapter visit? *
Would you prefer an in-person or virtual visit? *
How long would the State Officer's visit be? *
If in-person, where would the State Officer conduct the visit? *
What would the officer be responsible for doing? *
Please include all available details including if it is a presentation, chapter event, and who they may be meeting with.
Which State Officer are you requesting? *
Officers may or may not be available for dates requested.  Check all that apply.
A copy of your responses will be emailed to the address you provided.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy