Chapter Re-affiliation Form

Chapter Re-affiliation Form - SNA-NC

Please provide all information requested. According to the SNA-NC procedures, a local chapter needs to send a list of officers each year. The best time to complete the form is after electing officers. If your chapter has terms that span more than one school year, complete the form at the beginning of each school year.
Affiliation Type
The Chapter Name* Chapter of the School Nutrition Association of North Carolina, having completed requirements for Chapter organization as prescribed by the SNA-NC bylaws, hereby applies for affiliation with the School Nutrition Association of North Carolina. Following are the names and addresses for the year Date* to Date* .
Chapter and Affiliation Details
Name of Chapter
Date of Election

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
President - Membership Number
President - Name

First NameLast Name
President - E-mail
An e-mail address is required for the President. If one is not available, please use your director, supervisor, or manager's e-mail address.
President - Work Phone
Please enter a valid phone number.Format: (000) 000-0000.
President - Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
President - Term of Office (Month/Year To Month/Year)
Example: July 2026 - June 2027
Secretary - Name

First NameLast Name
Secretary - Term of Office (Month/Year To Month/Year)
Example: July 2026 - June 2027
President-elect - Name

First NameLast Name
President-elect - Term of Office (Month/Year To Month/Year)
Example: July 2026 - June 2027
Treasurer - Name

First NameLast Name
Treasurer - Term of Office (Month/Year To Month/Year)
Example: July 2026 - June 2027
Vice-President - Name

First NameLast Name
Vice-President - Term of Office (Month/Year To Month/Year)
Example: July 2026 - June 2027
Chapter Advisor - Name

First NameLast Name
Chapter Advisor - Term of Office (Month/Year To Month/Year)
Example: July 2026 - June 2027
Chapter Bylaws

Cancelof
List of Members With Membership Numbers

Cancelof
Chapter President Signature
Should be Empty:

Chapter Re-affiliation Form - SNA-NC

Chapter and Affiliation Details