SCHOOL:

CHAPTER NAME:

School Address: line 1
School Address: line 2

School Principal:

2010-2011 Chapter Advisor(s):
(Please list any additional chapter advisor information under "Additional Notes" at the end of this form.)

Primary Chapter Advisor (Postal mailings will be addressed to primary Chapter Advisor.)
Name   Phone
Email Check if New Chapter Advisor

Additional Chapter Advisors
Name    Phone
Email Check if New Chapter Advisor

Name    Phone
Email Check if New Chapter Advisor

During 2009-2010

1. How many times did your chapter hold the following types of meetings?
    Chapter    Officer    Business

2. Number of students invited to membership:
    Number of students inducted:

3. You held induction ceremonies:
    Each semester
    Once during the year

4. Minimum GPA required for chapter membership:

5. Does your chapter have local dues?
    No Yes - How much?

    If you checked "yes" above, how often do members pay local dues
    (i.e. one time only, each semester, every year)?
   

6. Does your chapter keep an on-going history of its members and activities?
    Yes
    No

7. Rate the image of your chapter at your school:
    Excellent Good Fair Poor

8. Retiring officers are required to meet with new ones to discuss chapter operations
    and job duties:
    Yes
    No

9. Your chapter holds installation ceremonies for new officers:
    Yes
    No

10. Your chapter sent information to The Museletter this year:
    Yes
    No

11. Please list concrete ways your National Advisory Council or the National Office could
      be of help to you.

12. What did you do this year:

Please list briefly your 2009-2010 chapter activities.

Please list briefly your 2009-2010 fundraising efforts.

Please list briefly any school or community service accomplished in 2009-2010.

13. What are your plans for 2010-2011?

Please list briefly your chapter activities planned for 2010-2011

Please list briefly your fundraising activities planned for 2010-2011

Please list briefly any school and community service activities planned for 2010-2011

Additional Notes

Include additional comments here.

Person completing this form:

Name

Chapter Title or Position

Email


Please print this page for your records before you submit the form.