WEF Student Chapter Annual Report Form Survey

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* 1. Chapter Contact Information:

Student Chapter Name:

College/University:

Chapter Street Address:

City, State, Zip:

Chapter Email Address:

Chapter Webpage:

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* 2. Is your chapter a joint student chapter?:

Yes

If you selected yes, please list the name of your partner organization/s:

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* 3. Faculty Advisor/s:

Name:

Email:

Name:

Email:

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* 4. Provide the name of the WEF Member Association (MA) that your chapter is from (such as Indiana Water Environment Association):

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* 5. Who is your chapter’s main point of contact at your Member Association?

Name:

Email:

MA Committee (if applicable):

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* 6. Please list the name, position and email address of your chapter's current officers (list each officer on one line):

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* 7. When do new chapter officers begin their term?

End of school year

Beginning of new school year

Start of new calendar year

Other (please specify)

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* 8. Please provide a name and email address for the point of contact for the chapter next year. If your chapter has not held elections, please list one member that will be active with the chapter next year.

Name:

Email:

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* 9. Chapter Membership:

# Current Chapter Members:

# Students who are MA/WEF Members:

# Students who are not MA/WEF Members:

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* 10. Our student chapter members usually major in the following subjects:

Environmental Sciences

Civil Engineering

Environmental Engineering

Other (please specify):

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* 11. Student Chapter Meetings:

# of Student Chapter Meetings hosted:

On average, how many students attend each meeting?:

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* 12. Besides meetings, what other types of activities does your chapter host?

Service Project

Networking/Social Events

Youth Educational Outreach

Not applicable

Other (please describe):

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* 13. Meetings, Conferences & Events: From the list below, please select which meetings, conferences or events student/s from your chapter attended this year:

MA Annual Conference

MA Sponsored Workshops

MA Student Poster Session

MA Student Design Competition

WEF Specialty Conference

WEF Webinar

WEF Student Design Competition

WEFTEC Conference

WEFTEC Community Service Project

Not applicable/ did not attend

Other: please list any other water or industry related events student/s from your chapter attended this year:

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* 14. Does your chapter utilize your Member Association as a speaker resource for chapter meetings?

Yes

If you selected yes, please describe the speaking engagement/s below:

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* 15. Does your chapter produce a newsletter?

Yes

If your chapter produces a newsletter, please list the number of issues released this academic year:

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* 16. Does your chapter charge dues? (dues aside from those required to join WEF and the MA):

Yes

If yes, please list your chapter's annual dues amount $:

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* 17. Incoming Financial Support: Please list the total dollars you received in the following areas this year:

MA Support:

Fundraisers:

Competitions:

University/College Support:

Other:

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* 18. Please list the total dollars spent on chapter activities this year:

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* 19. Form Completed By:

Name:

Position:

Email:

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* 20. Thank you for taking the time to complete the Annual Student Report! We are committed to empowering students and young professionals in creating a healthy global water environment. With that, in what way can WEF help the chapter be more successful?