Candidate Name & DesignationNomination DateClub NameClub #AreaDivisionMembership Building and RetentionGuest(s) brought to the clubNew Members sponsoredMembership building (Check all that apply)Speechcraft CoordinatorYouth Leadership CoordinatorClub CoachClub SponsorClub MentorEducation and TrainingAttended own club meetings (as a % )Pathways speeches deliveredPathways Levels Earned (Check all that apply)Level 1Level 2Level 3Level 4Level 5Number of training events attendedSpeech contestsSpeech ContestantNumber of TimesSpeech WinnerNumber of TimesContest JudgeNumber of TimesContest OfficialNumber of TimesContest ToastmasterNumber of TimesContest ChairpersonNumber of TimesAction at Area, Division and AboveAttended area council meetingsServed on a District TeamServed in a District CommitteeAttended District ConferenceYesNoADDITIONAL INFORMATION0 / 500Submited byPhone #Email AddressSubmited byPhone #Email AddressSubmited byPhone #Email AddressSend Message Facebook Twitter LinkedIn