Application to Become a Chapter with Michigan Audubon
Thank you for your interest in joining our network of chapters throughout the state of Michigan! Michigan Audubon is the state's oldest conservation organization and our chapters exist in communities statewide in order to support and extend our mission of conservation, education, and research. We ask that any groups interested in becoming an official chapter please complete this application for consideration by the organization's board of directors.
Today's date: *
MM
/
DD
/
YYYY
Proposed name of chapter: *
Your answer
Is this a new or already established group? *
How many members or interested members do you have at present? *
Your answer
Are you aware of any other chapters of Michigan Audubon or comparable groups in your area? *
If yes, please list those that apply: *
Your answer
Has your group reviewed Michigan Audubon's bylaws and is your focus congruent with the terms set forth by the organization's bylaws? *
Please explain how your group's current or intentional outreach, programming, events, and projects are congruent with the mission of Michigan Audubon. *
Your answer
How many members of your group are current Michigan Audubon members? *
Please note that each chapter must have a minimum of 10 members who are also members of Michigan Audubon.
Your answer
Chapter Representative Name: *
Your answer
Chapter Representative Address, City, and Zip Code: *
Your answer
Chapter Representative Email Address: *
Your answer
Please list city names and zip codes that would be included in your chapter's proposed territory: *
Your answer
What kind of contributions to conservation, education, and research is your group most interested in?
Is there anything else you'd like to share with us about your group?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service