Region 16 Sweet Adelines International
Application for the Regional Management Team
Personal Data
Name ______Member # ______
Chapter ______
Address ______
City / State or Province / Postal Code ______
Home Phone ( ) ______Work Phone ( ) ______
Fax ( ) ______E-mail ______
Sweet Adelines International Membership Data
How long have you been a member of Sweet Adelines International? ______
How long have you been a member of Region 16? ______
If you have been a member of another region in the last 5 years, please specify region and chapter name ______
Chapter Service within the last 10 years :
___ Board / Management Team Member___ President / Team Leader___ Director
___ Treasurer___ Membership Chair___ Show Chair
___ Communications___ Section Leader___ PR / Marketing
___ Music Staff___ Other – please specify______Secretary
Regional Service within the last 10 years :
___ Competition Coordinator ___ Chapter Coordinator ___ Class Facilitator
___ Central Duplicating___ Coach ___ Directors Coordinator
___ Comm/Tech Coordinator___ Convention Chair ___ DMA
___ DMA / MDR Staff ___ Education Coordinator ___ Events Coordinator
___ Faculty___ Finance Coordinator ___ MDR
___ Mark/Memb Coordinator___ Regent ___ Secretary
___ Team Coordinator___ Treasurer ___ Web Site Manager
___ 16th Notes Editor___ Other – please specify ______
International Positions held within the last 10 years :
___ Arranger ___ Committee Chair___ Committee Member___ Faculty
___ Judge___ Panel Secretary___ International Board
___ Other – please specify ______
Activity within the last 5 years :
- How many international conventions have you attended? ______
- What international education events have you attended? ______
______
- How many regional competitions have you attended? ______
In what capacity (competing chorus, quartet, staff, audience, etc..)? ______
- What regional education events have you attended? ______
______
______
Education / Employment Data
List education / training (or attach resume) ______
______
Employment :___ Part-time___ Full-time___ Not currently employed
Current Occupation : ______
Past Occupation(s):______
Qualifications Profile
- Check the skills, strengths, and experiences that would be valuable to your region
___ Accounting/Bookkeeping___ Advertising/Marketing ___ Contract Writing
___ Convention Planning___ Desktop Publishing___ Education
___ Central Mailing___ Financial Management___ Legal/Paralegal
___ Motivational Leader___ Negotiator___ Program Manager
___ Public Relations___ Web Site Development ___ Workshop Planning
___ Writing Skills___ Computer Skills – please specify ______
___ Other – please specify ______
- When asked to volunteer, do you prefer positions that are:
___ Short-term__ Long-term___ Working on-site___ Working at home
___ Well-defined___ Open-ended___ Group work___ Working alone
___ Chair___ Concept oriented ___ Product oriented___ Committee member
- Please rank the following regional coordinator positions you are interested in holding :
(1=highest priority, 8=lowest priority)
___ Membership Coordinator___ Communications/Technology Coordinator
___ Directors’ Coordinator___ Education Coordinator
___ Events Coordinator___ Finance Coordinator
___ Team Coordinator___ Marketing Coordinator
References
Please list 3 individuals below who you know well enough to verify your qualifications and request they complete the Confidential Potential Nominee Referral Form (also available on the regional website) on behalf of your application.
(Please note: international headquarters staff are not eligible to provide references)
#1Name______
Address ______
City/State/Province/Postal Code______
Phone ( ) ______
#2Name______
Address ______
City/State/Province/Postal Code______
Phone ( ) ______
#3Name______
Address ______
City/State/Province/Postal Code______
Phone ( ) ______
1. Please complete and submit the electronic version of this form available on the Region 16 Website.
2. Please provide a recent photo of yourself and a paragraph (50 words or less) expressing why you are
seeking a position with on the Region 16 Management Team. A copy of this photo and paragraph will be Included with the ballots if you are selected as a nominee for the position of Directors Coordinator, or Membership Coordinator.
Please return this application to:
June Donovan
CommunicationsCoordinator
at