Skip to content
Check Screen Reader Mode to make this survey compatible with screen readers.
Check Screen Reader Mode to make this survey compatible with screen readers.
New Chapter Development Application
Start a new chapter with us!
1.
Where will your chapter be located?
2.
How far is your proposed city from the nearest CMSA chapter?
3.
Who is the primary contact for the new chapter?
Name
Address
Address 2
City/Town
State/Province
ZIP/Postal Code
Country
Email Address
Phone Number
4.
How many people will you have to assist with starting this chapter?
5.
How many current CMSA members will you have to assist starting this chapter?
6.
What is your interest in developing a new CMSA chapter?
7.
Has a group meeting been held to determine the level of interest
Yes
No
8.
Date of Meeting
Enter Date Below
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
9.
Location of Meeting
10.
Attendance list and minutes from meeting(s)
Choose File
No file chosen
11.
Additional Comments:
Current Progress,
0 of 11 answered
