Alumni Chapter Interim Report

Alumni Chapter Interim Report
Name*

First NameLast Name
Clubhouse*
Role*
Email*
example@example.com
Phone Number*

Area CodePhone Number
Are Chapter members (those who signed a membership form, not just event attendees) also a member of The International Clubhouse Alumni Network?*

YesNo
Please upload at least 2 photos or videos of the Alumni Chapter activities. *

Browse Files

Cancelof
Please list the Alumni Chapter activities (events, meetings, or other gatherings) that occurred during the grant report period. Please include any accomplishments, the number of attendees at each activity, and how you communicated the event(s) to alumni. *
Does your Alumni Chapter have a Charter?*

YesNoOther
Does your Alumni Chapter have a sign-up or registration system?*

YesNoOther
Should be Empty: