CH-12 - Yearly Activity Report

January 15

A list of the activities of your chapter during the past year. Information you provide in this report will be posted to your chapter's landing page, so please be sure to give a detailed activity report.

Section 1

Please Indicate your Chapter: *

Directions: All answers should reflect activities in the previous fiscal year. Please pick the most appropriate answer and/or fill in the short answers as indicated. *

Do you publish a chapter newsletter?

If you answered YES:

	you must have at least one item
How often is it published?	you must have at least one item
How is the publication funded?	you must have at least one item
Do you send your newsletter to the National Office?	you must have at least one item

Website: *

Does your chapter have a website?

If YES, what is the www address? *

Mentoring Programs: *

Does your chapter have a program in place to mentor students/new grads into chapter committees or leadership roles?

*

In the past 12 months, has your chapter developed and/or used a membership survey to determine demographics, employment characteristics etc?
If Yes - have you shared the results with the National Office?

If No - Why?

In the past 12 months, what were the two (2) most important professional practice issues your chapter dealt with (i.e., prescriptive authority, third party reimbursement, managed care, state nurse practice act, etc.)? *

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Section 2 - Detailed Chapter Accomplishments

NOW IS YOUR CHANCE TO SHINE!!! Please describe three (3) chapter accomplishments that your chapter completed for the year. KEEP IN MIND: This information will be posted to your chapter's landing page, so please be sure to give detailed information.

DIRECTIONS:

1. These accomplishments should reflect activities, issues and/or projects that the chapter addressed during the previous fiscal year.

2. Feel free to embellish upon those activities that were mentioned in Section I.

3. Please avoid any identifying information such as state name, etc.

4. You MUST limit the descriptions of each accomplishment to 300 words or less.

Chapter Accomplishment #1: *

0/300 words

Chapter Accomplishment #2: *

0/300 words

Chapter Accomplishment #3: *

0/300 words