Club Form A: Club Activities Contact InformationMount Holyoke Club/Group of*Is this a...*Domestic Club/GroupInternational Club/GroupState:*Please select one...AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces PacificThe country in which you currently reside:*AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongoCosta RicaCôte d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayNorthern Mariana IslandsOmanPakistanPalauPalestinePanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabweName of person completing form* First Last Email* Volunteer Position*Has your club or group become dormant over the past year?*NoYesIf yes, simply complete the required fields (fields with a red asterisk) before submitting the form. Feel free to give us your comments at the end of the form.Does your club have a Facebook Group or Page?*YesNoIf yes, please give us the name and URL (link) for the Facebook Group/Page:*Does your club have a LinkedIn Group?*YesNoIf yes, please give us the name and URL (link) for the LinkedIn Group:*Events & ProductsPlease list all the events your club/group has held during the fiscal year July 1, 2015 to June 30, 2016. • For each event, list the event name, date, approximate number in attendance, and who was invited -- alumnae, students, prospective students, or parents of students. Event examples: Event Name Date Approx. Attendance Who was invited? Board Meeting 4/1/15 9 alumnae board members Spring Gathering 6/13/15 12 students, alumnae and parents Holiday Lunch 12/4/14 15 alumnae, students, parents of students Book Club Event 10/16/14 5 alumnae Accepted Students Event 4/11/14 7 alumnae, students, parents, accepted students Event History*Event NameDateApprox. AttendanceWho was invited? You are not limited by number of events. Select the + button to add more events. If you have not had any events, please enter "no events held" in the Event Name field.Does your club or group sell products?*YesNoWhat is the name and email address of your club's contact for products?Club DuesDoes your club/group have annual membership dues?*YesNoIf yes, how much are the annual dues?What do your club's annual dues support?*For example, offset printings and mailings, to send care packages to current students, book awards, subsidizing events, etc.Approximately how many dues paying members are there?*MiscellaneousDoes your club participate in alumnae/i events/activities with other colleges or universities/groups?*YesNoDo the groups include any of the following? 7 Sisters Ivies 5 Colleges Other Select all that apply.Specify other group(s):Does your club participate in any other projects or activities?*YesNoIf yes, please briefly describe the projects/activities:*Can we be of help to you and your club in any way?Comments Once you select Submit below you will be redirected to Form B for submission of your current slate of officers. You will also receive an email confirming your submission of Form A.PhoneThis field is for validation purposes and should be left unchanged.