IACRN Annual Report for Chapters

This electronic version of the Chapter Annual Update to IACRN has been created to assist Chapter Leaders in providing IACRN with updated annual information related to chapter activities and goals. We ask that Chapter Leaders complete this form by April 28, 2019. This form is being distributed by SMG through Survey Monkey. SMG will then send the results back to the IACRN Board. If you have questions or concerns please contact your Chapter Governance Comittee Chairs (Diane Branham - diane.branham@uchealth.org or your Chapter Advisor. A link to the IACRN Chapter Guide can be found here.

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* 1. Please provide your name, email and the office you hold in the chapter or branch

Name

Office Held

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* 2. Please select your Chapter

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* 3. Please provide a brief description of your Chapter's goals for 2019:

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* 4. Please upload your current membership list

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

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* 5. Attach your meeting agendas from 2018

Please combine your 2018 meeting agendas into one file and upload

PDF, DOCX, DOC file types only.

Choose File

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* 6. Attach your meeting minutes from 2018

Please combine your 2018 meeting minutes into one file and upload

PDF, DOCX, DOC file types only.

Choose File

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* 7. Provide financial update for 2018 by answering questions 7-10.

Please check here if your chapter or branch does not collect dues, and has no reportable income or expenses.

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* 8. If your chapter or branch collects dues what is the yearly charge?

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* 9. For U.S.A. Chapters, please provide Tax ID number and Date of Incorporation. If pending, please indicate as such.

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* 10. Please attach a brief itemized income report from dues or donations and an itemized expense report, with current overall net balance. Refer to the sample in guide.

DOCX, DOC, JPEG, GIF, JPG, PDF, PNG file types only.

Choose File

Question Title

* 1. Please provide your name, email and the office you hold in the chapter or branch

Question Title

* 2. Please select your Chapter

Question Title

* 3. Please provide a brief description of your Chapter's goals for 2019:

Question Title

* 4. Please upload your current membership list

Question Title

* 5. Attach your meeting agendas from 2018

Question Title

* 6. Attach your meeting minutes from 2018

Question Title

* 7. Provide financial update for 2018 by answering questions 7-10.

Question Title

* 8. If your chapter or branch collects dues what is the yearly charge?

Question Title

* 9. For U.S.A. Chapters, please provide Tax ID number and Date of Incorporation. If pending, please indicate as such.

Question Title

* 10. Please attach a brief itemized income report from dues or donations and an itemized expense report, with current overall net balance. Refer to the sample in guide.

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* 11. Please provide any other comments.