Policy 0326 Exemption Request FORM | Civitan International

Exemption Request - International Policy 0326

To request waiver of club incorporation requirement, so that a club with special circumstances surrounding state incorporation procedures may be granted Club in Good Standing status per International Policy 0304 (if other requirements are met).

Name of Person Submitting Form(Required)

First Last

Email(Required)

Mobile Phone(Required)

Civitan Club Exemption is Requested For:(Required)

Leadership position of person submitting form as related to the club above (if any):(Required)

Please detail efforts which have been made by the club to become incorporated, and why those efforts were unsuccessful:(Required)