Please submit new officers following election. List the current mailing address, telephone contact numbers (with area code), and email address(es) for each officer.

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 and your District Governor. You may also email to WHQ at growth@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 folders. If you are having trouble, please email growth@civitan.org.