Form A: Club/Group 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* Your position/title in the club/group*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.)*NoYesIf yes, simply complete the required fields (fields with a red asterisk) before submitting the form. We will be in touch to see how we can help. Please also give us your comments and the reason you feel your club has gone dormant in the comment box at the end of this form.Does your club/group have a Facebook group/page?*YesNoIf yes, please give us the name and URL (link) for the Facebook group/page:*Does your club/group 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 between July 1, 2016 and June 30, 2017. • For each event, list the event name, date, approximate number in attendance, and who was invited -- alumnae, students, prospective students, or parents of students. • If you have not had any events, please enter "no events held" in the Event Name field. Event examples: Event Name Date Approx. Attendance Who was invited? Board Meeting 9/11/16 9 alumnae board members Spring Gathering 4/23/17 12 students, alumnae and parents Holiday Lunch 12/4/16 15 alumnae, students, parents of students Book Club Event 1/16/17 5 alumnae Accepted Students Event 4/11/17 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.Does your club/group sell products?*YesNoPlease give us the name and email address of your club/group'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/group's annual dues support?*Example: subsidizing events, student care packages, etc.Approximately how many dues paying members are there?*MiscellaneousDoes your club/group 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/group 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/group in any way?Comments Once you select Submit below you will be redirected to Form B for submission of your list of officers/volunteers for July 1, 2017-June 30, 2018. You will also receive an email confirming your submission of Form A.EmailThis field is for validation purposes and should be left unchanged.