SAPCC Activity Report

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This Activity Report is to be completed semiannually by each State/Area/Province/Country/Chapter Representative/Ambassador and submitted online to the Representative Liaison by March 15th and September 15th of each year. *To be filled out by both Chapters and Non-Chapters.
Your Information
S/A/P/C/C Name*

Please select your State, Area, Providence, Country or Chapter name.
Representatives/Ambassadors Name*
First Last
Representatives/Ambassador Phone*
Primary contact number
Representatives/Ambassadors Alt Phone
Please enter alternate phone number if applicable.
Representatives/Ambassadors Email*
Enter Email Confirm Email
Date*
MM slash DD slash YYYY
S/A/P/C/C Information
Please include http:// or https:// preceding all web addresses. If you have problems, just go the page you wish to add in your web browser and copy & paste the URL.
S/A/P/C/C Website
S/A/P/C/C Facebook Page
S/A/P/C/C Instagram Page
S/A/P/C/C Pintrest Pages
S/A/P/C/C Other Social Media Pages
Reporting Information
Reporting Period*
- March 15th for period from September 1 – February 28 (9)
- September 15th for period from March 1 – August 31
Current members*
Expected date of next newsletter
MM slash DD slash YYYY

Expected date of next S/A/P/C/C newsletter to be sent to your membership
Number of Newsletters sent
- One
- Two
- Three
- Four
Number of S/A/P/C/C newsletters sent to your membership during the reporting period
Newsletter Upload 1
Accepted file types: pdf, Max. file size: 24 MB.
Please attach or submit copies of all newsletters or notices mailed or e-mailed to your members during this reporting period. (Files need to be in PDF & no larger than 24MB)
Newsletter Upload 2
Accepted file types: pdf, Max. file size: 24 MB.
Newsletter Upload 3
Accepted file types: pdf, Max. file size: 24 MB.
Newsletter Upload 4
Accepted file types: pdf, Max. file size: 24 MB.
Elections
Date of your last election*
MM slash DD slash YYYY

Date of your last election or appointment
Elections Held
- Yes
- No
Were elections during this reporting period ?
Positions filled*
- Select All
- Representative/Ambassador
- Treasurer
- Secretary
- Alernate 1
- Alernate 2
- Alernate 3
Please indicate the positions filled
Next Election Date
MM slash DD slash YYYY

Please indicate when the next election will be held
Activities Completed
S/A/P/C/C Activities Completed During Reporting Period:
Activity #1 Date
MM slash DD slash YYYY
Activity #1 Details
Classes offered, teacher, etc..
Activity #1 Number of members in attendance:
Activity #1 Number of non-members in attendance:
Activity #2 Date
MM slash DD slash YYYY
Activity #2 Details
Classes offered, teacher, etc..
Activity #2 Number of members in attendance:
Activity #2 Number of non-members in attendance:
Activities Planned for Next Reporting Period
Date of Upcoming Activity 1
MM slash DD slash YYYY
Upcoming Activity 1 Details
Classes offered, teacher, etc
Date of Upcoming Activity 2
MM slash DD slash YYYY
Upcoming Activity 2 Details
Classes offered, teacher, etc
Assistance
Do you need assistance ?
Do you need assistance at this time from the Representative Liaison to help you?
Please specify
If yes, please specify what assistance you need from the Representative Liaison.
I Agree*
- Digital Signature
By clicking "I Agree" you: * Agreed to use an electronic signature to demonstrate your acceptance of the information in this form. * Understand and agree that an electronic signature and/or electronic acceptance is as legally binding as an ink signature. * To the best of my knowledge, information and belief, I certify that the information on this form is true, correct and complete, * This Activity Report is to be completed semiannually by each State/Area/Province/Country/Chapter Representative/Ambassador and submitted online to the * Representative Liaison by March 15th and September 15th of each year. *To be filled out by both Chapters and Non-Chapters.
This form is not complete unless you click “submit" and will be used as your digital signature.
Once you have submitted the form you should receive a “Thank You” confirmation email. If you do not receive this “Thank You” email then your form DID NOT go through and you will need to RE-SUBMIT your form.
Please double check to make sure you:
Have filled in all the required information, (a RED message will appear if information is missing).
Este formulario no está completo a menos que haga clic en "enviar".
Una vez que haya enviado el formulario, debe recibir un correo electrónico de confirmación de "Gracias". Si no recibe este correo electrónico de "Agradecimiento", entonces su formulario NO se envió y tendrá que REITERAR su formulario.
Por favor, vuelva a verificar para asegurarse de que:
Ha completado toda la información requerida (aparecerá un mensaje ROJO si falta información).
Name
This field is for validation purposes and should be left unchanged.

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SAPCC Activity Report

Your Information

S/A/P/C/C Information

Reporting Information

Elections

Activities Completed

Activities Planned for Next Reporting Period

Assistance