2013 CHAPTER LEADERSHIP FORM

DUE DECEMBER 17, 2012*

*This deadline must be met to qualify for the Ten Star Award presented at the 2014 International Conference in San Antonio, TX. Chapters must hold Ten Star Award status in order to qualify for the Chapter Growth and Retention awards in the Chapter Incentives Program.

Please notify AFP International Headquarters immediately if any chapter leadership information changes during the year so that we may continue service to the chapter and communication with the chapter leaders without interruption. Changes can be emailed to .

Once completed, please save the document and submit via email to .

Chapter Name:

Chapter Administrator:

NOTE: Chapter Administrators receive complimentary administrative access to AFP materials and web site, but this access does not constitute a membership to AFP.

OFFICERS

NOTE: Please use the full name of the officer; no nicknames. All officers must be current members of AFP.

President:

President-Elect:

Immediate Past President:

Vice President(s):

In accordance with chapter bylaws, please list at least 1 of the chapter's VP's to ensure compliance.

Secretary:

Treasurer:

OTHER CHAPTER LEADERSHIP

Please list the individual responsible for the following areas (may be a Chair or a VP position.)

NOTE: In order to ensure complete service to chapters, please complete the following fields with the appropriate chapter leader's name; otherwise, designate the Chapter President so that someone from the chapter is receiving communication from IHQ for that particular chapter position. You may also designate other board members to receive these mailings.

Chapter Membership Contact:

This individual's name will appear on the chapter's page on the AFP web site. His/her name, phone number, and email address will be given out for general membership inquiries regarding the chapter.

Reimbursement Check Recipient:

This is the individual to receive all reimbursement checks/direct deposit notices and invoices.

Membership:

Education/Professional Development:

Government Relations:

Communications/Public Relations/Marketing:

Foundation Development/Every Member Campaign:

Scholarship:

Diversity:

Awards:

Ethics Education:

National Philanthropy Day®:

Mentoring:

Youth in Philanthropy:

Webmaster:

This person is the main contact regarding the chapter website. If Webmaster is not an AFP member, please note.

This form must be received, not postmarked, by December 17, 2012

Please save this document and attach the saved file in an e-mail to .