NSSNA Chapter Information Form

NSSNA Chapter Information Form
Please fill out this form whenever there is a change of leadership, advisors, or members, especially the month before the NSSNA Annual Convention
Chapter Information
Chapter Name (please type the full name, no abbreviations *
School Chapter is located at:*
Address (Chapter or School):*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Instagram Handle:*
Does your chapter have official constituency status?*

YesNoIn the process
How many members do you have in your chapter?*
When does your chapter have meetings? (Please list day(s) of the week, time, etc. - anything you feel that would be necessary)*
Chapter Individuals/Executive Board/Advisors Information
Please type in the below area all of the necessary information (follow the guide typed below):

Chapter Advisor 1: (First & Last Name)

Email:

Phone Number:

Chapter Advisor 2: (First & Last Name)

Email:

Phone Number:

Executive Board Members:

President: (First & Last Name)

Email:

Vice President: (First & Last Name)

Email:

Secretary: (First & Last Name)

Email:

Treasurer: (First & Last Name)

Email:

****If your chapter has any positions not listed above, please include them below the first four.****
Please type your response below with the information above:*
Should be Empty:

Please fill out this form whenever there is a change of leadership, advisors, or members, especially the month before the NSSNA Annual Convention