Student Chapter Monthly Report Form

Name of College of Osteopathic Medicine ^*

Month of Report ^*

Chapter President First Name^*

Chapter President Last Name^*

Date of Submission

Part 1: Chapter and Student Communications

Was your chapter active on social media communication this month?

Which social media platform was used?

Facebook
Instagram
Snap Chat
X (formerly Twitter)
LinkedIn
Other... This choice will expand a text box

Upload a photo of the social media posts

If yes, please provide a brief description and any related handles

Was your chapter and their events promoted by email communications this month?

Upload a photo of the email communication

If yes, please provide a brief description.

Part 2: Chapter Meetings and Workshops

Did your chapter have any meetings this month?

Yes
No
Other...

This choice will expand a text box

Date of the meeting

If yes, please provide a brief description

Did your chapter have any workshops this month?

Yes
No
Other...

This choice will expand a text box

Date of the workshop

If yes, please provide a brief description.

Did your chapter have any lectures this month?

Yes
No
Other...

This choice will expand a text box

Date of the lecture

Did your chapter have any other events this month?

Yes
No
Other...

This choice will expand a text box

Date of event

If yes, please provide a brief description.

Did your chapter have any VIPs attend an event this month?

Name(s) of the VIP:

Upload photos of the meetings, workshops and events:

Part 3: A.T. Still

Did your chapter have an OMM event this month?

Yes
No
Other...

This choice will expand a text box

Date of event

If yes, please provide a brief description.

Did your chapter communicate with a member of the Resident Council this month?

Yes
No
Other...

This choice will expand a text box

Did your chapter have any other OMM activity this month?

Yes
No
Other...

This choice will expand a text box

If yes, please provide a brief description.

Upload photos of the activity

Part 4: Chapter Activities

Did your chapter have any fundraising activities this month?

Yes
No
Other...

This choice will expand a text box

Date of activity

Did your chapter have any volunteer activities this month?

Yes
No
Other...

This choice will expand a text box

Date of activity

Did your chapter have any other activities this month?

Yes
No
Other...

This choice will expand a text box

Date of activity

If yes, please provide a brief description.

Upload photos of the activity

The next few questions are related to ACOFP National Annual Convention and ACOFP State Society Meetings.

Please skip this section during the months these events are not held.

Did you, the Chapter President, attend a National ACOFP Annual Convention?

Yes
No
Other...

This choice will expand a text box

Did any members of your chapter attend the National ACOFP Annual Convention?

Yes
No
Other...

This choice will expand a text box

Please provide a brief description.

Did any members of your chapter attend ACOFP State Society Meetings?

Yes
No
Other...

This choice will expand a text box

Please provide a brief description.

Did any Chapter Board Members attend the National Chapter Leadership Training?

Yes
No
Other...

This choice will expand a text box

Student Chapter Monthly Report Form

Part 1: Chapter and Student Communications

Part 2: Chapter Meetings and Workshops

Part 3: A.T. Still

Part 4: Chapter Activities

Part 5: Student Membership

Part 6: National ACOFP Events and Activities

The next few questions are related to ACOFP National Annual Convention and ACOFP State Society Meetings.

Chapter Monthly Photo Release Approval