EXTENSION COUNCIL EXECUTIVE BOARD MEMBERS
(At Large)
Chair_______________________________Address__________________________________________________________
Phone_________________________________E-mail__________________________________________________
Vice Chair___________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
Secretary____________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
Treasurer____________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
Other Members:
____________________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
____________________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
____________________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
____________________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
____________________________________Address_________________________________________________________
Phone_________________________________E-mail__________________________________________________
This is to certify that the above officers and members of the Executive Board were duly elected on
______________________, ________.
(Year)
_________________________________________
Chair
COUNTY CLERK’S CERTIFICATE
This is to certify that the list of County Extension Council Members and officers has been filed in this office. The
Executive Board Members have signed the usual oath of office. The treasurer’s bond has been approved by me and filed in
my office.
Witness my hand and seal this ___________day of _______________________________________, ___________.
________________________________________
County Clerk
(Seal)
The complete County Extension Council member list is attached.
KSU 8-4b (April 2009)
_________________________County, Kansas
COUNTY EXTENSION COUNCIL MEMBERS
Agriculture and Natural Resources
Family and Consumer Sciences
4-H Youth Development
Community Development
Name, address, telephone, e-mail address
Name, address, telephone, e-mail address
Name, address, telephone, e-mail address
Name, address, telephone, e-mail address
Year:
Year: