Chapter Kick-off Campaign Registration and Materials Request Form


Kick Off Your 2008-2009 NSSLHA Chapter Program Year, and Kick Back With More Members!

Register now to pilot a Chapter Kick-off campaign on your campus.

What chapters are eligible to participate?
NSSLHA Chapters in good standing with the national association are eligible to participate.
What are the dates of the campaign?
This campaign is good for the September 2008 - August 2009 academic year.
How can my chapter participate?
    1) Register your NSSLHA chapter as a host site by completing the accompanying form.
    2) Once we receive the registration, the national office will forward a link to a special Web site that contains a campaign guide and other resources to host activities. We will also send up to 75 complimentary give-away items to distribute to students at your local meetings.
    3) Host campaign activities (a list of activities will be available on the special Web site) during your local chapter meetings between September 2008 - August 2009.
    4) Collect sign-in sheets of the participants from each meeting and submit those with survey data and/or meeting reports to the national office and your chapter will be eligible for a cash award for participating.

Items marked with an asterisk are required to submit the form.

Contact Information

First Name:*
 
Last Name:*
 
University Name:*
 
Street Address:*
 
City:*
 
State:*
 
Zip Code:*
 
Country:*
 
Telephone Number:*
 
E-mail Address:*
 
Fax:

Shipping Information

Use this space to enter a name and address for shipping ONLY if it is different from the contact information:

Assurances

I have read the Chapter Kick-off guidelines and agree to participate in this pilot for the 2008-2009 academic year.*
 
I agree to share all survey data and attendee logs collected from each meeting with the national office.*
 
I understand that any cash award given to the chapter for participation in the Kick-off Campaign is contingent on available funds and will only be awarded to chapters in good standing with the national association (at the time of issue).*