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