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 _______________________________

Chapter President                                                                                    Chapter Advisor

 

Postmarked by May 30, please send original to:

 

ADSA-SAD

1111 North Dunlap Avenue

Savoy, IL 61874

 

Due:  May 30

 

Please note:  Annual Report Title Pages received after the stated deadline will be accepted, but clubs will incur a 5-point late deduction on the Outstanding Chapter Award Scorecard.