Clubs seeking a Club Coach - Toastmasters District 48

Name*

First Last

Email*

Phone*

Preferred Contact Method*

Club Name*

Club Number*

Club Website

Officer Role*

Meeting Day*

Meeting Time*

:

Meeting Location*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Describe what you think a successful Club Coach/Club relationship looks like.*

Briefly provide some basic information on your club members:*

Please provide education achievements, attendance to the club, and also attendance to other Toastmaster events like TLI's, District Conferences, or other Clubs.

What are your concerns about working with a Club Coach?*

Name

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