You
must complete and check off a total of five (5) requirements with at least one
(1) in each of the four (4) areas, and one (1) additional, between May 1 and April
30. Submit completed certification form to the Focus On Women state program manager.
Upon completion of the form, click Submit; you will receive a confirmation screen
if your report has been successfully submitted.
 Indicates
a required field |
| Enter
your Local Program Manager or Programming Vice President's email address: | |
|
| District
Number: | |
|
| Health
& Personal Concerns |
Present
or assist in the presentation of a health program at your local chapter, district
or state meeting. | |
Program &
Date:
|
| Attend
a self-improvement seminar or present one to your organization. | | Date:
|
| Certify
in CPR. | | Date:
|
|
Have
a physical exam or breast self-examination. | | Date:
|
| Other
(something you have done that deals with Health & Personal Concerns). | |
Explain:
|
| Careers
& Economics |
| Attend
a continuing education program or continue to advance your own career through
vocational or college classes. | | Program
& Date:
|
| Organize
and/or present a careers or economics program to a WT organization. | | Date:
|
| Attend
a seminar on wills or have your will updated. | | Date:
|
| Read
an article related to this area. | | Subject
& Date:
|
| Other
(something you have done that deals with Women & Careers or Economics). | | Explain:
|
| American
Involvement |
|
Be registered and vote. | |
Date:
|
| Attend
a meeting of a governing agency (i.e. school board, city council, etc.). | |
Date:
|
| Participate
in a program that deals with improving your country well being (i.e.,
recycling, conservation, etc.). | |
Program & Date:
|
| Present
a forum to your chapter, district or state meeting dealing with an aspect
of US government structure. | |
Program & Date:
|
|
Other (something you have done that deals with American Involvement.). | |
Explain:
|
| Women
Issues |
|
Present a program to your chapter, district or state dealing with Women in History. | | Program
& Date:
|
|
Compete in a Focus on Women essay contest. | | Date:
|
|
Be a member of another organization. | | Date:
|
|
Attend an event in your chapter or community that honors outstanding
women. | | Date:
|
| Other
(something you have done that deals with Women Issues). | | Explain:
|
| Certifying
Member Information |
| Your
Name: | |
|
|
Your Email Address: | |
|
|
Phone: | |
|
|
Chapter: | |
|
|
State: | |
|
|
Click
here to submit the form:
|
Minnesota
Women of Today