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Application To Become A Chapter Director (Please include a resume)
The PTC Grassroots Chapter Director agrees to the following:
The national office of the PTC will provide, at its own expense, the following items and services for use by the Grassroots Chapter:
The Chapter Director is responsible for setting up the following at the national office's expense:
It is therefore necessary that the Chapter Director have at his/her disposal a computer and modem, and that he/she be knowledgeable in its operation. The Chapter Director's performance will be evaluated on an annual basis and at that time re-appointed should both parties desire to continue in their relationship. A Chapter Directorship may be revoked at any time at the sole discretion of the PTC's national office.
Name:_______________________________________________________________________________________________________ Street address:______________________________________________City:_______________________________________________ State:________________Zip: ___________ Home telephone number:____________________________________________________ Why are you interested in this position? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ What issues do you believe are important for a PTC chapter in your community to undertake? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ What skills do you possess that would assist you in this position? _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Please list any associations, clubs or groups that you are involved in and your position or responsibilities with the organization (if applicable): _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ What computer skills do you have? (Microsoft Word, Excel, using the internet, email, etc.) _____________________________________________________________________________________________________________ _____________________________________________________________________________________________________________ Please provide the names and addresses of three references on a separate attached sheet.
I am in agreement with the goals and objectives of the PTC and agree to abide by
the policies of the national office. Signature________________________________________ Date___________________ Fax completed application to: (213) 629-9254 or mail to: PTC, 707 Wilshire Blvd, Suite 2075, Los Angeles, CA 90017 Attn: Marketing & Grassroots Communications Department |