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2019 FocuSED Connections Info Update form
Let us know what information has changed in your chapter so we can consider that in the next pairing.
THIS FORM IS NOT THE INITIAL INTEREST FORM. YOU NEED TO COMPLETE THAT FORM BEFORE YOU CAN PARTICIPATE.
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Email
*
Your email
Name (first and last)
*
Your answer
Name of contact person for the program
Skip if same as above
Your answer
Office position of contact person (if relevant)
Ex: Corresponding Secretary, District Liaison, President, etc.
Your answer
Email of contact person
Skip if same as above
Your answer
Phone number of contact person
Your answer
Chapter Designation
*
Your answer
Chapter School
*
Your answer
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