Form A: Club/Group Activities Contact InformationClub or Group Name* Is this a...* Domestic Club/Group International Club/Group Shared Interest or Affinity Club/Group State:*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* Your volunteer/officer position* Has your club/group become dormant over the past year? (By dormant we mean that the club/group has had no activities, events, or meetings.)* No Yes, but we plan to reactivate over the next year. Yes, and I would like to step down from my volunteer position. If yes, simply complete the required fields (fields with a red asterisk) and the "Comments" box to tell us why you feel your club/group has gone dormant. Be sure to click the blue "Submit" button at the end to complete your submission.If your club/group has website page, please give us the name and URL (link).*If your club/group has a Facebook group, please give us the name and URL (link).*Please list all the events your club/group has held between July 1, 2021 and June 30, 2022. • For each event, list the event name, date, approximate number in attendance, and who was invited -- alums, current students, prospective students, or parents of students. • If you have not had any events, please enter "no events held" in the Event Name field. • If you have had several events, you may wish to upload an Excel spreadsheet with the exact same fields as below. To do so, please enter “Excel Spreadsheet” in the Event Name field and upload your spreadsheet below. Event examples: Event Name Date Approx. Attendance Who was invited? Virtual Board Meeting 9/10/21 9 alum board members Fall Gathering 11/15/21 12 students, alums and parents Book Club Event 1/16/22 5 alums Accepted Students Event 4/11/22 7 alums, students, parents, accepted students Event History*You are not limited by the number of events you can add. Click on the right of the "Who was invited?" box of the first row below, to add more rows.Event NameDateApprox. AttendanceWho was invited? You may upload an Excel spreadsheet with the exact same fields listed above.Don't forget to enter “Excel Spreadsheet” in the Event Name field above before uploading your spreadsheet.Max. file size: 100 MB.Does your club/group sell products?* Yes No Club DuesDoes your club/group have annual membership dues?* Yes No If yes, how much are the annual dues? How many dues-paying members did your organization have this year? What do your club/group's annual dues support?*Example: subsidizing events, student care packages, etc.MiscellaneousDoes your club/group participate in alum events/activities with other colleges or universities/groups?* Yes No Do the groups include any of the following? 7 Sisters/Siblings Ivies 5 Colleges Other Select all that apply.Specify other group(s): Does your club/group participate in any other projects or activities?* Yes No If yes, please briefly describe the projects/activities:*Comments Once you select Submit below you will be taken to Form B for submission of your list of officers/volunteers for July 1, 2022-June 30, 2023. You will also receive an email confirming your submission of Form A.PhoneThis field is for validation purposes and should be left unchanged. Δ
