EmailMe Form - MNWT Living & Learning Certification

MNWT Living & Learning Certification

The Living and Learning Certification is a tool to encourage a member’s personal growth. At the beginning of the year, look at the form, and plan activities you can complete to support personal growth. Once you complete ten (10) items combined from the four (4) areas of Living and Learning (LL) below, plus one (1) item from the LL State Program Manager (SPM) between May 1 and April 30.

Indicate completion date and/or describe activity. Your district director and Living & Learning SPM will view your certification submitted online. If completing a paper copy, it should be mailed/emailed to all of the above postmarked by the certification due date of the trimester during which the certification is completed. (rev 2021)

Your Email *
Date *
MM / DD / YYYY
District *
Chapter *
Submitter Name *
First Last
Self-Improvement
Take an educational course, attend a seminar, or take a Personal Enrichment Program (PEP).
Participate in the impromptu speaking competition at convention.
Participate in a career development activity.
Read a self-improvement book.
Try something new – something outside your comfort zone
Educational Course, Seminar or PEP Topic *
Impromptu Speaking Competition Date *
MM / DD / YYYY
Career Development Topic *
Self Improvement Book Title *
Something New Topic *
Civic Growth
Register to vote
Vote in a governmental election at the national, state, or city level.
Attend a public meeting with elected officials or write a letter to an elected official.
Join another organization.
Research a current event or issue and educate someone else about it.
Voter Registration Date *
MM / DD / YYYY
Voting Date *
MM / DD / YYYY
Public Meeting/Letter Date *
MM / DD / YYYY
Other Organization Name *
Current Event Topic *
Spiritual Growth
Spend some time reflecting. Could be daily reflection or meditation.
Learn about a major religion by reading a book, listening to a speaker, or watching a documentary.
Tell someone about a life changing experience.
Attend a fellowship service at a national, state, district, or local event.
Lead a fellowship activity.
Reflection/Meditation Frequency *
How often do you spend time reflecting?
Religious Learning Topic *
Life Changing Experience Topic *
Fellowship Service Date *
MM / DD / YYYY
Fellowship Activity *
Growth through Family and Friends
Host a special activity or event honoring a friend or family member.
Create a family tradition.
Learn something from or teach something to one of your friends or family members.
Learn about family or friendship relationships or dynamics by reading a book or attending a course.
Create or update a family history
Have a difficult conversation.
Special Activity Event *
Family Tradition *
Learning Experience Topic *
Family Dynamics Topic *
Family History Date *
MM / DD / YYYY
Difficult Conversation Date *
MM / DD / YYYY
How many Living and Learning State Program Manager Requirements did you do? *
These requirements will be different every year based on what the LL SPM has for her goals. See the LL SPM CIP for a list of items.
LL SPM Requirement 1 *
List the first requiremnt you have chosen to complete.
LL SPM Requirement 1 Date *
MM / DD / YYYY
LL SPM Requirement 2 *
List the second requirement you have chosen to complete. It must be different then the first one listed above.
LL SPM Requirement 2 Date *
MM / DD / YYYY