Southeast Region History Report Form January 1, 2015 – December 31, 2015

Graduate Chapter: _____________________________________Date Submitted:__________________________________________

1. CHAPTERS

GRADUATEBasileus:Address:

Phone:Fax:Email:

Historian: Address:

Phone:Fax:Email:

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Chapter Name:__________________________________________________________________________________________________II. CHAPTER STATUS (Since Jan 2014)

GraduateTotal members initiated since charteringNumber of Active MembersNumber of Active Charter MembersNumber of Betas transferring into chapterNumber of Members transferred from other ChaptersNumber of Members released to other ChaptersNumber of Reclaimed/Reactivated membersNumber of members initiated since Jan 2014Number of Inactive membersTotal Number of members deceased since CharteringDeceased Sorors/Fraters since last Regional ConferenceName:Date of Death:Name:Date of Death:Name:Date of Death:Name:Date of Death:Name:Date of Death:

III. LOCAL SCHOLARSHIP AWARDED

AWARDEE INSTITUTION1.2.3.4.5

IV. CHAPTER ACTIVITIES

ACTIVITY GRADUATE

A. Founder’s Day YesB Nurse’s Week YesC. Held Chartering Anniversary Celebration YesD. Leadership Summit

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Chapter Name:_____________________________________________________________________________________D. Chapter Fundraising Project(s):

Name of Project1.2.3.4.

E. Suggestions for Regional Fundraiser:

Recommendation(s) Description of Fundraiser

1.2.3.4.

F. Chapter programs/Projects: Describe an “NEW” programs/projects:

Title of New Project Brief Narrative Description of New Project

1.2.3.4.

V. ORGANIZATIONAL CONTRIBUTIONS:

Organization1.2.3.4.5.6.7.89.10.11

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Totals $PLEASE TOTAL AMOUNTSChapter Name:__________________________________________________________________________________________________VI. NATIONAL PROGRAMSPlease check whether the Chapter has implemented or has plans to implement the programs listed below:

Program Implemented Yes NO

PlannedYes No

N/A

1. Hypertension Education:2. Hypertension Screening:3. Cancer Education:4. Sickle Cell:5. Eye Health:6. SIDS:7. Heart Truth:8. Power to end Stroke:9. Nat. Kidney Disease Ed. Project;10. Leadership Development:11. Research Development12. Program for the Elderly13. Program for Youth and Young Adults14. Community Health Outreach:15. Childhood Obesity

VII. THE THREE R’S (RECLAIM, RETENTION AND RECRUITMENT ACTIVITIES)The 3 R’s: Reclaim,

Retention and Recruitment

ActivitiesRECLAIM ACTIVITES

A. Reclaimed inactive members YESActual number of members reclaimedInactive members attended Chapter activities: YES

RECRUITMENT ACTIVITIES

B Retention of members:List special efforts initiated to enhance retention:1.2.

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3.4.

RECRUITMENT ACTIVITES

C. Number attended interest meetingsNumber of letters submittedNumber of Letters approvedNumber of letters rejectedReasons for rejectionNumber initiated

Chapter Name:___________________________________________________________________________________VIII. COMPOSITION OF CHAPTERS

Current Education Preparation (please include total number for each degree type);Type of Degree:1. Diploma2. Associate3. BSN4. BS/BA in another field5. MSN6. MS in another field7. APRN8. DNP, PhD, EdD, DNS

Current School Enrollment:Type of Degree:1. Diploma2. Associate3. BSN4. BS/BA in another field5. MSN6. MS in another field7. APRN8. DNP, PhD, EdD, DNS

IX. Suggestions to improve the Region and concerns that should be addressed:

Suggestion/Concern Recommended Action Plan

1.2.3.4.

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5.

The National Historian would like the following information submitted on separate paper: your current list of Officers, your current list of New Members and their Initiation dates. ALL Graduate Chapters Historians COMPLETE the required INFORMATION and attach to this report. Annual Updated Chapter information is required from all Regions. The Regional Historians combines chapter reports to Regional Conference Book of Reports and sends the 2nd (hard copy) to the National Historian on or before April 1st of FY. The National Historian keeps and compiles a chronological record of activities of the Sorority and Archives of National Headquarters. Prepares and submits a report to National Board of Directors and for Boule’ Book of Reports.

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