New Chapter Application Survey

1.The new chapter facilitator has the primary responsibility for setting up the chapter in accordance with OEFFA policy and identifying participants. Please provide this individual's contact information below (a chapter president may be elected at a later date, as determined by chapter membership):(Required.)

Name

Company/Farm Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

2.Please select your preference for chapter leadership:(Required.)

Chapter facilitator can be named Chapter President

I'd like to have the new chapter membership elect a president later

Other (please specify the terms you'd like to use to structure your new chapter leadership):

3.Enter the name for the new chapter below (or, note if the new chapter is yet to be named):(Required.)

4.Provide a description of the new chapter here:(Required.)

5.The new chapter is:(Required.)

Interest-based (i.e. organized around a common interest like "beekeeping" or "dairy"). By checking this box, I've assured that interest area(s) are identified in the description above.

Geographically-based. By checking this box, I've assured that the counties, states, and/or areas served are identified in the description above.

6.What is the primary goal or mission of the new chapter?(Required.)

7.Provide a description of the new chapter's target audience:(Required.)

8.Does the new chapter have any additional members interested in helping as a steering committee?(Required.)

Yes

No

9.Starting with the new chapter facilitator, please provide some background information for each chapter steering committee member known at the time of application, including any experience related to the proposed chapter).(Required.)

Facilitator description:

Name, title or office within chapter, and description of chapter representative #2 (eg: Jane Doe, Secretary. Jane has been secretary of her local Pheasants Forever chapter for the past 4 years and is an avid gardener...)

Name, title or office within chapter, and description of chapter representative #3

Name, title or office within chapter, and description of chapter representative #4

10.Including its chapter leader and steering committee, each new chapter must have a minimum six (6) members (representing different households) prior to the application being reviewed by the board. In the blanks below, please provide the contact information (including name, address, phone, email, and OEFFA membership status) for chapter members in addition to your steering committee. If you have a list longer than space allows, please email to kristy@oeffa.org.(Required.)

Member 1:

Member 2:

Member 3:

Member 4:

Member 5:

Member 6:

Member 7:

Member 8:

Member 9:

Member 10:

11.The next several questions cover chapter functions you may or may not have started to think about. Just answer the questions to the best of your ability and when finished, rank your level of preparedness.

I have a lot of questions before I'm ready.

I'm about halfway to feeling ready.

I feel ready to submit my application along with 3 signatures at the next board meeting.

13.How often does the new chapter plan to meet?

14.Where will the new chapter meetings be held? (online meet ups and conference calls count)

15.Check any online platforms that the new chapter is interested in using:

Facebook group linked to OEFFA's page

Google Groups

Online discussion forum

Unsure

Other (please specify)

16.Does the new chapter plan to set up a chapter email account?

Yes

No

Unsure

17.Does the new chapter plan to set up a bank account?

Yes

No

Unsure

New Chapter Application

Thank you for your interest in starting a new chapter of OEFFA!