Form E: NAASC Chapter Report to Regional Coordinators
Due to Regional Coordinator by November 1 and April 15 of each fiscal year.
Chapter Name *
Your answer
Chapter President *
Your answer
Chapter EIN: *
Your answer
Email Address: *
Your answer
Chapter Mailing Address: *
Your answer
Chapter Website Address:
Your answer
City, State, Zip: *
Your answer
Phone: *
Your answer
Chapter Profile:
Please list total membership as of prior report (thus, if submitting a report for April, include membership for prior November report): *
Your answer
Total Current Membership: *
Your answer
Name of each Officer and Standing Committee Chair. *
Your answer
Reports filed.
Your answer
Certification that all Executive Committee members are financial at both the local and national levels.
Program Activities
(Fundraisers, gifts/awards to students, recruitment, annual giving campaign activities, roster updates, service programs, special recognitions, communications, etc.
Please list program activities.
Your answer
Additional Chapter Needs/Problems/Concerns
Your answer
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