MIJC 2018 Chapter Profile
Please complete the following information for your chapter. Thank you!
Email address *
Chapter Name *
Your answer
District *
Chapter Mailing Street Address *
Your answer
Chapter Mailing City *
Your answer
Chapter Mailing ZIP *
Your answer
Chapter website address
Your answer
Chapter Facebook page link
Your answer
Chapter Twitter page/handle
Your answer
Chapter blog or other online page
Your answer
Physical Address of Chapter (if applicable)
Your answer
Chapter Email Address *
NOT a personal email address, type N/A if you don't have a chapter email
Your answer
Chapter Phone Number
NOT a personal phone number, leave blank if you don't have a chapter phone number
Your answer
Meetings and Dues
Usual General Membership Meeting day and time *
Your answer
Is the day and time of your GMM consistent? If no, please explain. *
Your answer
Usual General Membership Meeting location *
Your answer
Is the location of your GMM consistent? If no, please explain. *
Your answer
Chapter Board Meeting day, time, and location *
Your answer
Membership Dues Amount per month *
Type N/A if you do not allow your members to pay monthly
Your answer
Membership Dues Amount per year *
Your answer
When do you hold your chapter elections? *
Give the exact date if you know it or at least the month
Your answer
What year was your chapter chartered?
Your answer
Board Contact Information
Please complete the following information about your local chapter board
President - Name *
Your answer
President - Email *
Your answer
President - Phone Number *
Your answer
President - Preferred method(s) of contact *
Select all that apply
Required
Chairperson of the Board - Name *
If none, type N/A
Your answer
Chairperson of the Board - Email *
If none, type N/A
Your answer
Treasurer - Name *
If none, type N/A
Your answer
Treasurer - Email *
If none, type N/A
Your answer
Secretary - Name *
If none, type N/A
Your answer
Secretary - Email *
If none, type N/A
Your answer
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 *
Your answer
Voting Board Member #1 - Position Title *
For example: Management Vice President
Your answer
Voting Board Member #1 - Email *
Your answer
Voting Board Member #2 - Name
Your answer
Voting Board Member #2 - Position Title
Your answer
Voting Board Member #2 - Email
Your answer
Voting Board Member #3 - Name
Your answer
Voting Board Member #3 - Position Title
Your answer
Voting Board Member #3 - Email
Your answer
Voting Board Member #4 - Name
Your answer
Voting Board Member #4 - Position Title
Your answer
Voting Board Member #4 - Email
Your answer
Voting Board Member #5 - Name
Your answer
Voting Board Member #5 - Position Title
Your answer
Voting Board Member #5 - Email
Your answer
Voting Board Member #6 - Name
Your answer
Voting Board Member #6 - Position Title
Your answer
Voting Board Member #6 - Email
Your answer
Voting Board Member #7 - Name
Your answer
Voting Board Member #7 - Position Title
Your answer
Voting Board Member #7 - Email
Your answer
Voting Board Member #8 - Name
Your answer
Voting Board Member #8 - Position Title
Your answer
Voting Board Member #8 - Email
Your answer
Projects, etc.
Please provide details for at least two signature projects that you are considering to run in 2018
2017 Signature Project #1 *
Your answer
2017 Signature Project #1 - Date *
Your answer
2017 Signature Project #1 - Location *
Your answer
2017 Signature Project #2 *
Your answer
2017 Signature Project #2 - Date *
Your answer
2017 Signature Project #2 - Location *
Your answer
2017 Signature Project #3
Your answer
2017 Signature Project #3 - Date
Your answer
2017 Signature Project #3 - Location
Your answer
Major Partnerships (Groups or Businesses)
Your answer
Major News Sources in your community
Your answer
What major challenges do you expect in 2017?
Your answer
Additional important information or thoughts you would like to share
Your answer
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.
Your answer
Which members of your chapter should have access to VIEW membership in Jaycee Member? (max 2) *
Please include their names and email addresses
Your answer
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