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Instructions- DO NOT EDIT THIS PAGEDO NOT EDIT OR FILL IN THIS PAGE! Fill out the next page -->
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Please take the time to fill this form as accuratley as possible. Only inlcude events and leadership positions that occurred in the year 2025. Before you submit your excel sheet, please change the title of the excel sheet to the following: "[Your chapter's name]- COY 2025." MAKE SURE TO NOT MANIPULATE THE FORMAT OF THE EXCEL SHEET AS IT HAS BEEN FORMATED TO CALCULATE POINTS BASED ON THE INFORMATION YOU PROVIDE. ALTERATIONS TO THE FORMAT CAN IMPACT YOUR FINAL SCORE.
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DO NOT CHANGE THE TEXT IN THE BLUE SHADED BOX
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Use the template below as a Example on how to fill
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Chapter Activities - DOWNLOAD A COPY OF THIS SHEET TO FILL IT OUTNational/Regional OfficerLMSA+ Regional ChapterGrand Round Series
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Total Points in Q4LMSA-NE Co-Sponsored EventChapter sponsored serviceAdvocacy EducationSocial/CulturalMentorshipOther ServiceLMSA+ event
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Chapter Activities Total PointsTotal Points
(5 points per officer)
10List the LMSA+ chapter(s) you sponsor? (5 points)0Did you attend the following Grand Round Series? (Y/N) (5 points)5Total Points
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Total Points100020015003550
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Ensure a numerical value is written to the right of "Total Points"
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Event title"New York Meet Up""Medical Spanish""Undergrad Meet-Up"Name of memberJOHN DOE
Chapter Name
"How to win Chapter of the Year?"Y
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Event description (2-3 sentences)"We collaborated with...""we taught...""we chose...."National or Regional?National
Chapter Name
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Number of times this activity occurred (max 3)141Position
VP of Communications
Chapter Name
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Event title"Mentoring and ME"Name of memberJane Doe
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Event description (2-3 sentences)"we led..."National or Regional?Regional
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Number of times this activity occurred (max 3)2PositionPolicy Chair
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DO NOT EDIT OR FILL IN THIS PAGE! This is an example on how to fill out. Fill out the next page -->
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