American Dairy Science Association
Student Affiliate Division
ANNUAL REPORT TITLE PAGE
Name of Chapter
______________________________________________________________________
Mailing Address
______________________________________________________________________
Officers and Advisor(s):
President _____________________________ Secretary
___________________________
Advisor(s)
__________________________________________________________________
Date Officers Elected
____________________ Term of Office __________________
Department Chair
_________________________________________________
Membership in your student affiliate club as of March 1 (For information only)
Total Club Membership
_______________________
Designate to the Chapter Award Scoring Committee
your preference to include in their judging either your chapter's scrapbook
_________ or yearbook _______________.
Report submitted by
________________________________________________.
Approved by
______________________________Approved by _______________________________
Postmarked
by May 30, please send
original to:
ADSA-SAD
1111 North Dunlap Avenue
Savoy, IL 61874
Due: May 30
NOTE: For each day
this report is postmarked after May 30, one point will be subtracted
from the annual report score for the Outstanding Chapter Award.