District 7 Officer Nominating Form


I wish to have the nominating committee consider the following person for the office of:
□ District governor                                    □ Lt. governor education & training
□ Lt. governor marketing                          □ Division governor (please specify division_________)
                                                                                           □ CC □ CL □ AC □ DTM
Name ________________________________________________________________

Address ______________________________________________________________                    

City ______________________________________________ State ___________________

Postal Code __________________

Telephone (H) _________________________ (B) ___________________________(C)_____________________________

FAX _________________________________               e-mail: _____________________________________________________

Home Club Name ______________________________________________________ Club No. ____________________

Please describe any club and district offices held by nominated individual (include dates of service if possible).  Please share with the nominating committee why you believe the nominated individual should be considered for the specified position.  If there is additional information you would like to include about this candidate that you feel would assist the nominating committee in their
deliberations, please attach it to this form.

_____________________________________________________________________________________

______________________________________________________________________________________

______________________________________________________________________________________

Submitted by: ________________________________________________________ Date:___________________________


Mail or E-mail to Barb Gianos as she is the Nominations Chair.
THEBOBBIEG@aol.com
Barb Gianos
3855 SW Canby St
Portland, OR 97219