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Tennessee Technology Student Association

Request for State Officer Candidate Application

Candidate’s Name_____________________      Parent/guardian:_________________________

Officer Position Sought:_________________________________

School Name: ________________________________

Home Address: ________________________________________

City/state/zip code:______________________________________

Home phone: ____________________                               

Email: ________________________________

Place a check mark on the line in front of the Tennessee TSA State office to which you are applying as a candidate:

___  President

___  Vice President

___  Secretary

___  Reporter

___  Treasurer

___  Sergeant-at-Arms

 Teacher’s Signature:__________________________________________

Principal’s Signature: _________________________________________

Note:  You may request an application anytime during the 2007-2008 school year.  Once this form is completed and received, your will be mailed an official application.  To be considered a candidate at the 2008 State Conference, all applications must be postmarked no later than January 31, 2008.

Mail this form to:

Heather Henderlight, TSA Youth Consultant

East Tennessee Field Service Center

2761 Island Home Boulevard
Knoxville, TN 37920

Tel: (865) 594-6044  Fax: (865) 594-5242

E-mail: heather.henderlight@state.tn.us