Chapter Name *

President's Name *

President's Phone Number *

President's Email Address *

1. Were at least four chapter meetings scheduled this year? *

2. Did 50% of chapter members regularly attend chapter meetings? *

3. Was one executive board meeting held this year? *

4. Was the Chapter President or her designee in attendance at the Executive Board Meeting in the fall? *

5. Were chapter dues submitted to International no later than June 30? *

6. Was the chapter yearbook submitted to the State Executive Secretary prior to December 1? *

7. Was a chapter newsletter submitted to the State Communications Committee by February 1? *

8. Did the chapter contribute to the "Members supporting Members" project in the form of a monetary donation sent to State Treasurer or by contributing a basket or item for the funding our purposes auction? *

9. Did chapter members or chapter activities support a state, international or local project? *

10. Did the chapter participate in Coordinating Council activities by having individuals or the chapter president in attendance at least one function? *

11. Is the chapter continuing to develop and/or implement its strategic plan? *

12. Has the chapter initiated new members since April 1 of last year? *

13. Has the chapter given at least one lifetime service award? *