Mid-Year Change of Club Officers

List the current mailing address, telephone contact numbers (with area code), and email address(es) for each officer change.

Click here to download a PDF version of this form. If you choose to complete the form using the PDF version, please mail a copy to Civitan International World Headquarters. You may also email to WHQ at forms@civitan.org.

After clicking submit, you should receive an email notification that includes all of the information you provided in this form. If you do not receive the confirmation email in a timely manner, please check your spam and junk folder(s). If you are having trouble, please email forms@civitan.org.

Mid-Year Club Officer Change Form

  • Which year's officers are you making an update to?
  • Officer Changes

    Please only enter the information for the officer position being updated, to the NEW officer's information.