Officers
  Regional Clubs
  Committees
  Membership
 Application
 Code of Ethics
 Sponsor's Forms
 Membership Kit
 Junior Membership
 Membership Reapplication
 Honorary Membership

  The Bagpiper
  Archives
  Forms

Last update - 11/20/08
Content Provider:
     Michael Cerone
Copyright © 2000 - 2008 STCA

HONORARY MEMBERSHIP NOMINATION
(PDF Version: 18KB / 1 page)

SCOTTISH TERRIER CLUB OF AMERICA
HONORARY MEMBERSHIP NOMINATION

NAME ___________________________________________________________
ADDRESS_________________________________________________________
STCA MEMBER: (YES) (NO) MEMBERSHIP SINCE _____________________
STCA INVOLVEMENT (examples: involvement in committees, offices held, Bagpiper, website, publications, presentations, etc) _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
INVOLVEMENT WITH SCOTTISH TERRIERS (examples: involvement as a breeder, exhibitor, judge, instructor, rescue worker, etc)_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
OTHER INFORMATION (examples: why this person should be granted Honorary Membership. This is particularly important for the non - member applicant) _________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Name of Sponsor__________________________________ Date_____________
Address__________________________________________________________
Phone: _________________________ E-Mail:____________________________

Complete this form and mail to the STCA Membership Chairperson Susan Jacobsen, 7088 Irish Ave., Cottage Grove. MN 55016.

Back to Membership      Back to Who Are WE?