United States Forum 2024-2026 Steering Committee Application Form
I. Instructions
Provide all requested information. Submit this application form no later than May 31, 2024, 11:59 pm CDT. 
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II. Contact Information
Name of Candidate:
DKG Member ID:
Year of Induction:
DKG State Organization of which you are a member:
Address (Street, City, State, Zip):
Preferred Phone Number:
III. Duties of Elected Leaders
Before continuing with this form, please read, "Section B. Duties of Elected Leadership Team Members" in the 2021 Operational Guidelines at www.dkgusforum.org
I have read the Operational Guidelines including the duties for the position(s) I am seeking and am committed to doing the work to fulfill the position's responsibilities.
Please enter your name in the space below, this will serve as your signature for the statement above.
IV. Choice of Position(s)
A candidate must be a member of the US Forum unit as determined by her state organization/region. A member can apply for both chair and regional representative but can only accept one position.
Check the position(s) for which you will be a candidate.
V. United States Forum Activities
Share your experience and participation in US Forum activities and why you wish to serve on the US Forum Steering Committee? (150 words or fewer)
VI. Announcements of candidates for the 2024-2026 US Forum Steering Committee and candidate statements and photos will be posted in the US Forum newsletter and on the US Forum website. 

Submission of this candidate application form grants permission for the information to be published in the US Forum newsletter and on the US Forum website. 
Your photo should be a high-resolution photo and sent as a jpeg attachment in a separate email to societyexec@dkg.org. If done by a photographer, ask for print quality. If sending from a phone, send as "Actual Size." 
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