Regional Chapter Information Form
This form is for Regional Chapters to update their information for the Regional Chairs and National Board to improve communication and support of the chapters on a greater scale. Please input your chapter email in the text box below and complete the form. Thank you for your responses.
Email *
NOBCChE Advisor/Sponsor
Please complete the following questions in reference to your NOBCChE Chapter's NOBCChE or Sponsor
Advisor/Sponsor First Name *
Advisor/Sponsor Last Name *
Advisor/Sponsor Email address *
Chapter Information
Please complete the following questions in reference to your chapter.
Chapter Name *
List of Chapter Executives (President, Vice President or President-Elect, Secretary, Treasurer, etc) Please provide a name, role, and email address for each executive member. Place each executive member on a separate line for clarity. *
Chapter Contact Information (ex. email address, Instagram, Facebook, Twitter, etc. Please place each response on a separate line.) *
Is this a professional Chapter? (Postdoc or Post-graduate) *
Required
What is your total number of chapter members? *
What is the number of undergraduate students in your chapter? *
What is the number of graduate students in your chapter? *
What is the number of professionals in your chapter? *
Enter N/A for Student Chapters
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