Please print or type clearly. Complete all sections, and attach additional sheets if necessary.

COLLEGE PROFILE:

College Name:

Total Number of Students in School: ______

Number of Native American/Native Alaskan Students in School:______

Type of College (check all that apply):  2 year  4 year Tribal Graduate

Vocational  Private  Public  Other ______

Report Period:

This reporting should include the preceding academic year’s activities, in addition to planned activities, new officers and members for the current academic year.

Chapter Contact InformationReport Completed by:

Chapter Advisor(s)

Advisor / Co-Advisor (if applicable)
Name:
Title:
Mailing Address:
Telephone:
Email:

If not completed fully, the advisor(s) may be omitted from mailings and listservs.

Chapter President2016-17

Current Academic Year / Elected for 2017-18 Year
Name:
Mailing Address:
Telephone:
Email:

If not completed fully, the president may be omitted from mailings and listservs.

Co/Vice President

Current Academic Year / Elected for 2017-18 Year
Name:
Mailing Address:
Telephone:
Email:

Secretary

Current Academic Year / Elected for 2017-18 Year
Name:
Mailing Address:
Telephone:
Email:

Treasurer

Current Academic Year / Elected for 2017-18 Year
Name:
Mailing Address:
Telephone:
Email:

Other Chapter Officer

Current Academic Year / Elected for 2017-18 Year
Name:
Mailing Address:
Telephone:
Email:

Rev. 05/2017

Please complete for all Chapter Members, including all Chapter Officers

Please print or type clearly.

Attach additional sheets if necessary.

Member Name /
Major /

Email Address

/

Yr. in School

/

Tribal Affiliation (if applicable)

/

Current National AISES Member?

Yes or No /

2017 Graduate?

Yes or No

Rev. 05/2017

Chapter Activities

On a separate document, please describe the following chapter activities:

  • Did your chapter provide or attend any workshops/presentations to increase Professional & Chapter Development? Please list, include invited speakers.
  • Did your chapter provide mentoring/tutoring to high school and college students? Please
    provide description of program.
  • Was your chapter involved in community service projects this year? Please describe projects. Which
    project was the most rewarding?
  • List recruitment and retention activities for the year. Which effort was most successful for your chapter?
  • What fundraising activities was your chapter involved in this year? Which activity brought in the most funds?
  • Please list special honors your chapter is planning or has already held for the current school year.
  • Other Chapter Activities.

*If your chapter has fulfilled the above activities please consider applying for the AISES Chapter Awards.

Special Recognition

Highlight chapter and individual member’s special honors, awards, etc. (if applicable). Has your chapter applied for an AISES Chapter Award?

**Completed Reports must be submitted no later than May 31st.**

emailed to Lisa Paz .

Rev. 05/2017