*1.Name(Required.)

*2.Chapter Name(Required.)

AFP AB, Calgary & Area ChapterAFP AB, Edmonton & Area ChapterAFP AB, Southern ChapterAFP AK, Alaska ChapterAFP AL, Alabama ChapterAFP AL, North ChapterAFP AR, Arkansas ChapterAFP AR, Northwest ChapterAFP AZ, Greater Arizona ChapterAFP AZ, Northern ChapterAFP AZ, Southern ChapterAFP BC, Greater Vancouver ChapterAFP BC, Okanagan ChapterAFP BC, Vancouver Island ChapterAFP Bermuda ChapterAFP CA, Capital ChapterAFP CA, Desert Communities ChapterAFP CA, Golden Gate ChapterAFP CA, Greater Los Angeles ChapterAFP CA, Greater San Fernando Valley ChapterAFP CA, Inland Empire ChapterAFP CA, Monterey Bay ChapterAFP CA, Orange County ChapterAFP CA, San Diego ChapterAFP CA, San Luis Obispo County ChapterAFP CA, Santa Barbara/Ventura Counties ChapterAFP CA, Silicon Valley ChapterAFP CA, Valley ChapterAFP CA, Yosemite ChapterAFP CO, Colorado ChapterAFP CO, Southern ChapterAFP CT, Connecticut ChapterAFP CT, Fairfield County ChapterAFP DC, Washington DC Metro Area ChapterAFP DE, Brandywine ChapterAFP Egypt & MENA ChapterAFP FL, Big Bend ChapterAFP FL, Central ChapterAFP FL, Collier-Lee ChapterAFP FL, First Coast ChapterAFP FL, Fort Lauderdale/Broward ChapterAFP FL, Indian River ChapterAFP FL, Miami ChapterAFP FL, Palm Beach County ChapterAFP FL, Polk County ChapterAFP FL, Southwest ChapterAFP FL, Space Coast ChapterAFP FL, Tampa Bay ChapterAFP FL, Treasure Coast ChapterAFP FL, Volusia/Flagler ChapterAFP FL, West ChapterAFP GA, Atlanta ChapterAFP GA, Coastal ChapterAFP GA, Greater Augusta ChapterAFP HI, Aloha ChapterAFP IA, Central ChapterAFP IA, Eastern ChapterAFP IA, Greater Tri-State ChapterAFP IA, Northeast ChapterAFP ID, Idaho ChapterAFP IL, Central ChapterAFP IL, Chicago ChapterAFP IL, East Central ChapterAFP IL, Quad Cities ChapterAFP IL, Rockford Area ChapterAFP IN, Indiana ChapterAFP IN, Indiana Northeast ChapterAFP IN, Michiana ChapterAFP IN, Northwest ChapterAFP KS, Kansas Heartland ChapterAFP KS, Topeka Chapter on PhilanthropyAFP KY, Bluegrass ChapterAFP KY, Greater Louisville ChapterAFP LA, Baton Rouge ChapterAFP LA, Greater New Orleans ChapterAFP LA, North ChapterAFP MA, Massachusetts ChapterAFP MA, Western ChapterAFP MB, Manitoba ChapterAFP MD, Maryland ChapterAFP MD, Western Maryland ChapterAFP MI, Capital Area ChapterAFP MI, Greater Detroit ChapterAFP MI, Mid-Michigan ChapterAFP MI, West Michigan ChapterAFP MN, Central & Southwestern ChapterAFP MN, Minnesota ChapterAFP MN, Southern Minnesota ChapterAFP MO, Greater Kansas City ChapterAFP MO, Ozark Region ChapterAFP MO, St. Louis Regional ChapterAFP MT, Montana ChapterAFP MX, Centro-Sur ChapterAFP MX, Noreste ChapterAFP MX, Noroeste ChapterAFP MX, Occidente-Pacifico ChapterAFP NB, New Brunswick ChapterAFP NC, Cape Fear RegionAFP NC, Charlotte ChapterAFP NC, Triad ChapterAFP NC, Triangle ChapterAFP NC, Western ChapterAFP ND, Northern Plains ChapterAFP NE, Nebraska ChapterAFP NF, Newfoundland and Labrador ChapterAFP NH, Northern New EnglandAFP NJ, New Jersey ChapterAFP NJ, Southern ChapterAFP NM, New Mexico ChapterAFP NS, Cape Breton ChapterAFP NS, Nova Scotia ChapterAFP NV, Las Vegas ChapterAFP NV, Sierra ChapterAFP NY, Central ChapterAFP NY, Finger Lakes ChapterAFP NY, Genesee Valley ChapterAFP NY, Greater Hudson Valley ChapterAFP NY, Hudson-Mohawk ChapterAFP NY, Long IslandAFP NY, New York City ChapterAFP NY, Western ChapterAFP OH, Central ChapterAFP OH, Cincinnati ChapterAFP OH, Greater Cleveland ChapterAFP OH, Greater Dayton Region ChapterAFP OH, Greater Springfield ChapterAFP OH, Mahoning-Shenango ChapterAFP OH, Northeast Ohio ChapterAFP OH, Northwest ChapterAFP OK, Eastern Oklahoma ChapterAFP OK, Oklahoma ChapterAFP ON, Canada South ChapterAFP ON, Central Ontario ChapterAFP ON, Golden Horseshoe ChapterAFP ON, Greater Toronto ChapterAFP ON, London & Region ChapterAFP ON, Ottawa ChapterAFP ON, South Eastern OntarioAFP OR, Oregon & SW Washington ChapterAFP PA, Berks Regional ChapterAFP PA, Central ChapterAFP PA, Eastern ChapterAFP PA, Greater Philadelphia ChapterAFP PA, Northeastern ChapterAFP PA, Northwestern ChapterAFP PA, Western ChapterAFP QC, Quebec ChapterAFP RI, Rhode Island ChapterAFP SC, Central Carolina ChapterAFP SC, Lowcountry ChapterAFP SC, Piedmont ChapterAFP SD, South Dakota ChapterAFP SK, Saskatoon ChapterAFP SK, South Saskatchewan ChapterAFP TN, Great Smoky Mountain ChapterAFP TN, Memphis ChapterAFP TN, Nashville ChapterAFP TN, Southeastern ChapterAFP TX, Central ChapterAFP TX, Coastal Bend ChapterAFP TX, East ChapterAFP TX, Fort Worth Metro ChapterAFP TX, Greater Austin ChapterAFP TX, Greater Dallas ChapterAFP TX, Greater Houston ChapterAFP TX, Lubbock Area ChapterAFP TX, Permian Basin ChapterAFP TX, San Antonio & South Texas ChapterAFP TX, Texas Plains ChapterAFP Utah ChapterAFP VA, Central ChapterAFP VA, Virginia's Blue Ridge ChapterAFP VA, Hampton Roads ChapterAFP VA, Piedmont ChapterAFP VA, Shenandoah ChapterAFP VA, Tri-State ChapterAFP WA, Advancement Northwest ChapterAFP WA, South Sound ChapterAFP WI, Greater Madison ChapterAFP WI, Northeast ChapterAFP WI, Southeastern Wisconsin ChapterAFP WI, Upper Mississippi Valley Chapter

*3.E-mail Address(Required.)

*4.Please rank the importance of topics you want to hear about from AFP Global(Required.)

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Board Diversification

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Chapter Collaboration

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Education Programming

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

IDEA Initiatives

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Mentor Programs

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

National Philanthropy Day

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Scholarships

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Succession Planning

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Sponsorship & Non Dues Revenue Generation

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Volunteer/Board Engagement

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

Membership Marketing

Not Important

Somewhat Important

Average Importance

Important

Very Important

N/A

5.What other topics would you like to learn about as an AFP Chapter Leader?

*6.I prefer to have a speaker who is not a member of AFP Staff or an AFP Chapter Leader.(Required.)

Yes

No

*7.Check off all the areas your chapter is successful in, that you would like to share with other chapter leaders either via a Zoom meeting, or a highlight in the AFP Daily:(Required.)

Board/Volunteer Engagement

Chapter Collaboration

Government Relations

Education Programming

IDEA Initiatives

Membership Recruitment/Engagement

Mentor Programs

National Philanthropy Day

Non-Dues Revenue Generation

Social Media

Scholarship Programs

Sponsorships/Partnerships

Young Professional/Emerging Leader Engagement