Annual Report:  2021:    
Instructions: Please use N/A for unknown answers
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Email *
Chapter Name *
CHAPTER EMAIL ADDRESS (GENERAL BUSINESS): *
CHAPTER MAILING ADDRESS: *
CHAPTER NAME: *
CHAPTER PRESIDENT 2022 – EMAIL: *
CHAPTER PRESIDENT 2022 – NAME: *
CHAPTER PRESIDENT 2022 – PHONE: *
LEGISLATIVE CHAIR 2022 – EMAIL: *
LEGISLATIVE CHAIR 2022 – NAME: *
LEGISLATIVE CHAIR 2022 – PHONE: *
MEMBERSHIP CHAIR 2022 – EMAIL: *
MEMBERSHIP CHAIR 2022 – NAME: *
MEMBERSHIP CHAIR 2022 – PHONE: *
PRIOR CHAPTER PRESIDENT 2021 – EMAIL: *
PRIOR CHAPTER PRESIDENT 2021 – NAME: *
PRIOR CHAPTER PRESIDENT 2021 – PHONE: *
PRIOR MEMBERSHIP CHAIR 2021 – EMAIL: *
PRIOR MEMBERSHIP CHAIR 2021 – NAME: *
PRIOR MEMBERSHIP CHAIR 2021 – PHONE: *
PRIOR TREASURER 2021 – EMAIL: *
PRIOR TREASURER 2021 – NAME: *
PRIOR TREASURER 2021 – PHONE: *
SECRETARY 2022 – EMAIL: *
SECRETARY 2022 – NAME: *
SECRETARY 2022 – PHONE: *
TREASURER 2022 – EMAIL: *
TREASURER 2022 – NAME: *
TREASURER 2022 – PHONE: *
VICE PRESIDENT/PRESIDENT ELECT 2022 – EMAIL: *
VICE PRESIDENT/PRESIDENT ELECT 2022 – NAME: *
VICE PRESIDENT/PRESIDENT ELECT 2022 – PHONE: *
DID THE MEMBERSHIP HOLD A DRIVE OR OTHER ACTIVITIES IN 2021 AND PROVIDE OUTREACH TO EXPIRED MEMBERS? if yes, please provide more information *
DOES THE CHAPTER HAVE A WEBSITE? IF SO, PLEASE PROVIDE A LINK AND WOULD YOU LIKE INFORMATION INCLUDED IN QUARTERLY CONTEMPORARY REHAB (CR)? If yest, please provide a link *
DID THE CHAPTER PUBLISH A NEWSLETTER? – IF SO, PLEASE EMAIL A COPY TO INFO@NATIONALREHAB.ORG *
DID THE CHAPTER MEMBERSHIP INCREASE/DECREASE AND WHAT LED TO THIS? *
WHAT ARE THE CHAPTER MEMBERSHIP GOALS FOR 2021 AND WHAT ACTIVITIES ARE PLANNED FOR 2021 TO MEET THE CHAPTER MEMBERSHIP GOALS? *
DID THE CHAPTER HAVE A CONFERENCE IN 2021 AND WILL THE CHAPTER HAVE A CONFERENCE IN 2022? IF SO, PROVIDE DETAILS TO BE INCLUDED IN THE QUARTERLY CR? *
WHAT ACCOMPLISHMENTS WOULD THE CHAPTER LIKE TO REPORT FOR 2021? (i.e., scholarships, service projects, etc.) *
WHAT ISSUES OR CONCERNS WOULD THE CHAPTER LIKE THE NRA BOARD OF DIRECTORS OR NATIONAL OFFICE STAFF TO ADDRESS IN 2022? IS THERE ANYTHING ELSE THE CHAPTER WANTS THE BOARD AND/OR NATIONAL OFFICE TO KNOW? *
PLEASE LIST THE NAMES AND EMAIL ADDRESSES OF ANY CHAPTER MEMBERS COMPLETING THIS REPORT. *
A copy of your responses will be emailed to the address you provided.
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