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2023 Tribal Chapter Mandatory Annual Report
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Submitter Name
Submitter Email
Chapter Name
Chapter’s Business Address
Address Line 1
Address Line 2
City/Town
State/Province
- Select -
Alabama
Alaska
American Samoa
Arizona
Arkansas
Armed Forces (Canada, Europe, Africa, or Middle East)
Armed Forces Americas
Armed Forces Pacific
California
Colorado
Connecticut
Delaware
District of Columbia
Federated States of Micronesia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Marshall Islands
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Palau
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Nova Scotia
Ontario
Prince Edward Island
Quebec
Saskatchewan
Northwest Territories
Nunavut
Yukon
ZIP/Postal Code
Country
- Select -
United States
Canada
Does your chapter have a bank account?
-select-
Yes
No
Total # of Members
Total # of Indigenous Members in Chapter
Chapter Officers and Members
Chapter Officers
You may add or remove officers using the (+)(-) buttons.
Type
Name
Term
Phone
Email
Employer
Title
Operations
Type
Type
- Select -
President
Vice President
Secretary
Treasurer
Other…
Enter other…
Name
Term
Phone
Email
Employer
Title
Type
Type
- Select -
President
Vice President
Secretary
Treasurer
Other…
Enter other…
Name
Term
Phone
Email
Employer
Title
Type
Type
- Select -
President
Vice President
Secretary
Treasurer
Other…
Enter other…
Name
Term
Phone
Email
Employer
Title
Type
Type
- Select -
President
Vice President
Secretary
Treasurer
Other…
Enter other…
Name
Term
Phone
Email
Employer
Title
Chapter Members
You may add or remove members using the (+)(-) buttons.
Name
Email
Employer
Title
Tribe (If applicable)
Current National AISES Member?
Operations
Name
Email
Employer
Title
Tribe (If applicable)
Current National AISES Member?
- None -
Yes
No
Name
Email
Employer
Title
Tribe (If applicable)
Current National AISES Member?
- None -
Yes
No
Name
Email
Employer
Title
Tribe (If applicable)
Current National AISES Member?
- None -
Yes
No
Name
Email
Employer
Title
Tribe (If applicable)
Current National AISES Member?
- None -
Yes
No
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more items
Chapter Activities
Chapter Activities (Jan – December)
List briefly chapter activities, seminars/workshops held, invited speakers, mentoring/tutoring programs, community service, fundraising activities, and special honors your chapter is planning or has already held for the Year.
Meeting Minutes
One file only.
512 MB limit.
Allowed types: jpg jpeg pdf doc docx ppt pptx xls xlsx.
Please upload meeting minutes from the reporting period.
Special Recognition
Highlight chapter and individual member’s special honors, awards, etc.
(If applicable)
Please check any programs that the chapter members may be interested in participating in
Mentoring college students
Judging science fairs or research presentations (in-person or online)
Helping out with the Regional Conference
Financial Report
Financial Report
A. Beginning of the Year Cash Balance
B. Funds Received
You may add or remove funds using the (+)(-) buttons.
Description
Fund Amount
Operations
Description
Fund Amount
Description
Fund Amount
Description
Fund Amount
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B. Total Funds Received (add from lines above)
C. Expenditures
You may add or remove funds using the (+)(-) buttons.
Description
Expenditure Amount
Operations
Description
Expenditure Amount
Description
Expenditure Amount
Description
Expenditure Amount
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C. Total Expenditures (add from lines above)
D. Ending of Year Cash Balance (Line A + Line B Total - Line C Total)
Bank Statement
Upload your end of year bank statment. You may redact all but the last 4 numbers of the account number.
Unlimited number of files can be uploaded to this field.
512 MB limit.
Allowed types: pdf jpg jpeg .
