MIJC 2018 Chapter Profile
Email Address
Email address *
Chapter Name *
District *
Chapter Street Address *
Chapter City *
Chapter Zip Code *
Chapter Website Address
Chapter Facebook Link
Chapter Twitter Handle
Other online link
Chapter Phone Number (If Applicable)
Chapter Email Address *
Chapter Phone Number
NOT a personal phone number, leave blank if you don't have a chapter phone number
Meetings and Dues
GMM Time and Location *
Are your GMM days/times consistent? (if not explain) *
Where is your usual GMM location? *
Is your GMM location consistent (If not explain) *
What are your board meeting days/times? *
What are your monthly member dues? *
Type N/A if you do not allow your members to pay monthly
What are your annual membership dues? *
When are your chapter elections held? *
Give the exact date if you know it or at least the month
When was your chapter chartered?
Board Contact Information
Please complete the following information about your local chapter board
President's Name *
President's Email *
President's Phone Number *
President - Preferred method(s) of contact *
Select all that apply
Required
Chairperson of the Board - Name *
If none, type N/A
Chairperson of the Board - Email *
If none, type N/A
Treasurer - Name *
If none, type N/A
Treasurer - Email *
If none, type N/A
Secretary - Name *
If none, type N/A
Secretary - Email *
If none, type N/A
The following section is for your remaining voting board members, including Vice Presidents and Directors
Please list Vice Presidents first. You only need to fill out contact information for as many voting board members as you have and leave extra fields blank.
Voting Board Member #1 - Name *
Voting Board Member #1 - Position Title *
For example: Management Vice President
Voting Board Member #1 - Email *
Voting Board Member #2 - Name
Voting Board Member #2 - Position Title
Voting Board Member #2 - Email
Voting Board Member #3 - Name
Voting Board Member #3 - Position Title
Voting Board Member #3 - Email
Voting Board Member #4 - Name
Voting Board Member #4 - Position Title
Voting Board Member #4 - Email
Voting Board Member #5 - Name
Voting Board Member #5 - Position Title
Voting Board Member #5 - Email
Voting Board Member #6 - Name
Voting Board Member #6 - Position Title
Voting Board Member #6 - Email
Voting Board Member #7 - Name
Voting Board Member #7 - Position Title
Voting Board Member #7 - Email
Voting Board Member #8 - Name
Voting Board Member #8 - Position Title
Voting Board Member #8 - Email
Projects, etc.
Please provide details for at least two signature projects that you are considering to run in 2018
2017 Signature Project #1 *
2017 Signature Project #1 - Date *
2017 Signature Project #1 - Location *
2017 Signature Project #2 *
2017 Signature Project #2 - Date *
2017 Signature Project #2 - Location *
2017 Signature Project #3
2017 Signature Project #3 - Date
2017 Signature Project #3 - Location
Major Partnerships (Groups or Businesses)
Major News Sources in your community
What major challenges do you expect in 2017?
Additional important information or thoughts you would like to share
Which members of your chapter should have access to UPDATE membership in Jaycee Member? (max 1) *
Please include their names and email addresses. This is usually the President or Membership VP.
Which members of your chapter should have access to VIEW membership in Jaycee Member? (max 2) *
Please include their names and email addresses
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