DISTRICT: Cumberland  LOCAL UNIT: ___________________________________

President:
Name:______________________________________________________________________
  First                     Middle                   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Vice President:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Secretary:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Treasurer:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Spiritual Growth:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Social Action:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Membership-Nurture-Outreach
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Secretary of Program Resources:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Communications:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Education & Interpretation:
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Nominations Chair:       Class of:_________________
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Nomination Committee:
Name:______________________________________________________________________
Phone #:______________Email:______________________________ Class of:____________

Name:______________________________________________________________________
Phone #:______________Email:______________________________ Class of:____________

Name:______________________________________________________________________
Phone #:______________Email:______________________________ Class of:____________

Name:______________________________________________________________________
Phone #:______________Email:______________________________ Class of:____________

Name:______________________________________________________________________
Phone #:______________Email:______________________________ Class of:____________

Circle Leaders: Attach additional paper if needed
Circle name:____________________________
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________

Circle name:_____________________________
Name:______________________________________________________________________
  First    Middle   Last
Address: ____________________________________________________________________
  Street    City     Zip
Home#:________________ Work#:______________Email:____________________________