Annual Chapter Leadership Update Form

Annual Chapter Leadership Update Form

This is a required form for chapter leaders to complete each year. The form provides AHF with simple information about it's leadership, activities, and governing documents that can help us assist chapters and market their events. Someone from each chapter must complete this form every year. We realize form details may not change year-to-year, but still ask that the form be completed, in full, annually none-the-less.
Chapter Name*
Name of individual completing the form*

First NameLast Name
Email of individual completing the form*
example@example.com
Chapter Mailing Address (best mailing address for formal chapter business)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
How many members does your chapter have?*
Provide the names of your FULL chapter board for the coming year along with their contact information. This is a required section.
Specify your board term (E.g. July to June. January to December)*
Specify when your board elections will take place*
Board President Name*

First NameLast Name
Upload Leadership Roster

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Enter the names of your chapter leadership (if not uploaded above)

	First Name	Last Name	Email Address	Facility/Company Name	Operator or BP?	AHF Membership (Required)
Chapter President
President-Elect or Vice President
Past President
Treasurer
Secretary
Director
Director
Director
Director
Director

Confirm below that you have renewed your insurance for the coming year. Insurance should be renewed annually. If you are signed up with AHF's umbrella Director & Officers Insurance (D&O), we will renew your insurance on your behalf. General Liability insurance should be obtained by the chapter personally and renewed annually. It is not required, but we strongly recommend it.
My Chapter has Director & Officers Insurance

Yes, we have obtained our own D&O InsuranceYes, we have obtained D&O Insurance through AHFNo, we do not have D&O InsuranceI do not know if we have D&O Insurance
My Chapter has General Liability Insurance

Yes, we have General Liability InsuranceNo, we do not have General Liability InsuranceI do not know if we have General Liability Insurance
Please use the spaces below to list out upcoming events including: Member meetings, webinars, virtual conferences, in-person meetings, or in-person conferences.
Upcoming Event #1
Upcoming Event #2
Upcoming Event #3
Please provide us with the costs of your membership dues and sponsorship fees. If you do not charge fees, please simple indicate $0. This helps AHF stay up to date on various chapter fees to better assist you when discussing chapter participation with sponsors and members.
Cost of Chapter Operator Membership Dues blanks*
Cost of Chapter Business Partner Membership Duesblanks*
Cost of Chapter Conference Sponsorship blanks*
Other dues AHF should be aware of blanks*
Chapter Website Address*
Chapter Facebook Link
Chapter Instagram Link
Chapter LinkedIn Link
Chapter Twitter Link
Upload Chapter Bylaws

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Upload Other Founding Documents

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Thoughts, Questions, or Requests for AHF?
Additional feedback, questions, or request that AHF staff/Board should consider.
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