State Council Committee Change Request Form

Your request requires Board approval before going to the Representation Committee. Alternates may not change committees.
Name*
First Last
CTA Member ID*
Email:*
You will be emailed confirmation when the State Council committee is changed.
Enter Email Confirm Email
Cell Phone:
Chapter:*
Not sure what your chapter is? Use our tool to find your chapter.
Current Committee:*
Preferred Commitee:*
Communication with Board Member*
- I have spoken already with my Board Member.
- I have NOT spoken with my Board Member yet.
Board Member:*
Sign and submit for Board member approval. Attend your current committee assignment until the Representation Committee processes the change.
Comments for Board Member
Date*
MM slash DD slash YYYY
Signature*

Search Form Overlay