Chapter Leadership Form 2025

MEMORANDUM

Chapter Leadership Reporting Form
Completion of this form ensures that ACC records, publications and your chapter leadership webpage are current, and communications are sent to the correct Chapter leaders. Thank you for taking a few minutes to complete and submit this form within 10 days after your elections are held. It is imperative that we have an accurate account of your current leadership.

Please note that only the positions listed below will be displayed on your website's leadership page.
Please select your chapter*
Month/Year of Election for Officers/Directors Reported:

MonthYear
Date of election of Officers/Directors

MonthDayYear
Date
Month/Year that Officers/Directors Become Effective:

MonthYear
Date Officers/Directors Become Effective*

MonthDayYear
Date

President-Elect
The president-elect is the individual set to take on the role of president once the current president's term ends.
President-Elect Name:
President-Elect Name

First NameLast Name
E-mail

Vice President
Vice President Name:
Vice President Name

First NameLast Name
E-mail
Additional Vice Presidents (Optional)

Upload a File
If your chapter has multiple VPs, please append a list here. Cancelof
Please upload your list of additional VPs in pdf, doc, docx, xls, or xlsx format.

Membership Chair
Membership Chair Name:
E-mail
Additional Membership Chairs (Optional)

Upload a File
If your chapter has multiple chairs/co-chairs, please append a list here. Cancelof

Communications Chair
Communications Chair Name:
E-mail
Additional Communications Chairs (Optional)

Upload a File
If your chapter has multiple chairs/co-chairs, please append a list here. Cancelof

Programs Chair

(Arranges for Chapter programs and is liaison to ACC Headquarters on programs)
Programs Chair Name:
E-mail
Additional Programs Chairs (Optional)

Upload a File
If your chapter has multiple chairs/co-chairs, please append a list here. Cancelof

Advocacy Liaison

(Coordinates Advocacy Initiatives for chapter)
Advocacy Liaison Name:
E-mail
Additional Advocacy Liaisons (Optional)

Upload a File
If your chapter has multiple liaisons, please append a list here. Cancelof

Legal Operations Liaison
Legal Operations Liaison assists in promotion of ACC Legal operations activities and resources, and collaborates with chapter leadership to identify local programming needs.
Legal Operations Liaison Name:
E-mail
example@example.com
Additional Legal Operations Liaisons (Optional)

Upload a File
If your chapter has multiple liaisons, please append a list here. Cancelof

Please list all Board directors, including email addresses below:
Include leader names, email addresses, and title

Additional Leaders

Please upload a list of leaders you would like to report that have otherwise not been captured in this form.
Additional Leaders

Upload a File
Please use one of the following file types: pdf, doc, docx, xls, xlsx, csv, txt, or rtf Cancelof

Please make note of the following:
- Treasurers receive quarterly rebate memos automatically. If another party (e.g. chapter bookkeeper) should also receive these memos, plase indicate so in the space below.
- All Chapter reporting forms will be sent to both the Chapter Executive Director/Administrator and Chapter President unless otherwise noted.
- The phone numbers and email addresses of all board members will be displayed on the Chapter website unless otherwise requested.
- All officers and directors listed on this report are covered by ACC’s Directors’ and Officers’ Liability Insurance Policy. Please refer to the Chapter President’s Manual for details on insurance for Chapters.
Quarterly Rebates

Do NOT send quarterly rebate memos to our chapter Treasurer.
Should rebate memo be sent to an additional party? If so, please include below:

Full NameE-mail
Chapter Reporting Forms

Do NOT send chapter reporting forms to our chapter PresidentDo NOT send chapter reporting forms to our chapter Executive Director/Administrator
Should chapter reporting forms be sent to an additional party? If so, please include below:

Full NameE-mail
Contact Information

Do NOT display the phone numbers of our Chapter Board of Directors on the chapter website.Do NOT display the email addresses of our Chapter Board of Directors on the chapter website.

MEMORANDUM