If you need assistance in completing any portion of this form, please  contact the chapter chairperson for assistance.  Incomplete information could effect the decisions of the evaluating committee. In an effort to help in the completion of this form, the following criteria will be used by the evaluating committee to make the final selection for the Outstanding Chapter Award.

      · quality and quantity of activities and programs sponsored by the chapter
      · accrual of practical benefits for local chapter members.
      · demonstrations of successful outreach programs to professional community
      · growth of chapter membership

   Please complete the following information about the nominated chapter:

   I. Membership Advancement and Communication:

   1. In what ways does the nominated chapter communicate with its members?
   (Check all that apply)

   email_____ section newsletters_____     chapter newsletters_____
   chapter meetings_____    website_____      other (specify)_____

   2. If the nominated chapter has a website, please provide address below.

   II. Technical and Educational Activities:

3. List the educational initiatives that the chapter has taken.

4. List any speakers or Distinguished Lecturers sponsored by the chapter. Briefly summarize the topic and attendance. (Use additional sheet if needed)

5. Provide some information about the chapter's membership growth over recent years:
 
6. Briefly describe and evaluate any conferences/seminars/competitions sponsored by the chapter.

7. Summarize any plans or activities the chapter has for the upcoming year.
 
8. Additional information can be appended.

   Submitted by:____________________________ Email: ________________
   Fax:     ______________

   Organization/Title: _______________________________________________

   Are you a chapter member?  yes  (   ) no (   )

Last updated 18 September 2007