Intent to Seek Election Form

Office Sought

Name (include first/last as recorded on your membership record)

Address

Address (continued)

Phone

Phone type

Email Address

99s Member continuous since (Include Month/Year)

Chapter

Section

Total Hours

Ratings

SERVICE TO 99s, include dates:

Chapter (Offices, Committees)

Section (Offices, Committees)

International (Offices, Committees)

Number of International Conference Attended in past 5 years

Number of Section Meetings attended in past 5 years

Number of International Board Meetings attended in past 5 years

Special aviation related awards

Membership in aviation related organizations and offices held

Occupation(s) and/or other training or experience related to office sought. (Attach Resume)

Check here to allow "Intent to Seek Election" form and resume to be posted in the Members Area of The 99s website and 99s' publications.

I agree

I understand this notice constitutes authority to advise Members, Chapters and Sections of my intent to seek election, and that I meet all eligibility requirements for the office being sought.

Clear

Date

Resume (can be word document or pdf)

Maximum file size: 134.22MB

Photo (must be at least 300 dpi resolution)

Maximum file size: 134.22MB

Position Statement

0 of 250 max words

If you are human, leave this field blank.

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