EVA Chapter Affiliation / update

EVA Chapter Affiliation / update
Chapter Name*
Select an existing chapter name to submit a chapter update
I need to update this chapter name
New / Update Chapter Name
Enter a New chapter name or what you would like to update your chapter name to
General Contact Email:*
example@example.com
Please share the name of the individual who responds to / monitors this email:*
Primary Mailing Address for this chapter: (EVA internal use only)*

Street Address

Street Address Line 2

CityState

Zip Code
Region Served
Comma separated list of 2 character state abbreviations your chapter serves

Chapter Leadership Contact Information:
Chapter Leader/President Name: *

First NameLast Name
Chapter Leader/President EVA Member ID:
Chapter Leader/President Email:
example@example.com
Chapter Leader/President Phone:
Please enter a valid phone number.
Okay to text the Chapter Leader/President?

YesNo

Vice President
Vice President Name

First NameLast Name
Vice President's EVA Member ID:
Vice President's Email
example@example.com
Vice President's Phone Number
Please enter a valid phone number.

Treasurer
Treasurer's Name

First NameLast Name
Treasurer's EVA Member ID:
Treasurer's Email
example@example.com
Treasurer's Phone Number
Please enter a valid phone number.

Secretary
Secretary's Name

First NameLast Name
Secretary's EVA Member ID:
Secretary's Email
example@example.com
Secretary's Phone Number
Please enter a valid phone number.

Event/Meetup Coordinator
Event/Meetup Coordinator's Name

First NameLast Name
Event/Meetup Coordinator's EVA Member ID:
Event/Meetup Coordinator's Email
example@example.com
Event/Meetup Coordinator's Phone Number
Please enter a valid phone number.

Legislative/Policy Contact
Legislative/Policy Contact's Name

First NameLast Name
Legislative/Policy Contact's EVA Member ID:
Legislative/Policy Contact's Email
example@example.com
Legislative/Policy Contact's Phone Number
Please enter a valid phone number.

Club Express Admin (if other than leadership team)
Club Express Admin's Name

First NameLast Name
Club Express Admin's Email
example@example.com
Club Express Admin's Phone Number
Please enter a valid phone number.

Zoom Admin
Zoom Admin's Name

First NameLast Name
Zoom Admin's Email
example@example.com
Zoom Admin's Phone Number
Please enter a valid phone number.

Mailchimp Admin
Mailchimp Admin's Name

First NameLast Name
Mailchimp Admin's Email
example@example.com
Mailchimp Admin's Phone Number
Please enter a valid phone number.

Insurance Admin
Insurance Admin's Name

First NameLast Name
Insurance Admin's Email
example@example.com
Insurance Admin's Phone Number
Please enter a valid phone number.

Web / Social links
External Chapter Website URL:
You don't need to have one if you don't want to. The EVA will create a chapter page on our chapters site to ensure members can find and contact you.
Link to the chapter Facebook profile (page or group):
Link to your Chapter Blue Sky Profile:
Link to your LinkedIn Profile:
Link to your chapter Instagram profile:
Link to your chapter X (twitter) profile:
Link to your chapter YouTube channel:

Meeting Requirements

Chapters must hold a minimum of two (2) meetings or other events/activities per year. Meetings should be open to all visitors from other chapters and any members of the general public.
Date, Time, Place for your chapter meetings

Are there additional comments or details you would like us to add to your profile?
Should be Empty: