NATIONAL REHABILITATION ASSOCIATION CHAPTER, DIVISION AND REGIONAL ANNUAL REPORT -Late Filing

Chapter/Division/Region Name *

Chapter, Division or Region Mailing Address *

Chapter, Division or Region Email Address *

2019 President Name, Email, Phone *

2019 President start date *

2019 President end date *

2020 President Name, email , Phone # *

2020 President start date *

2020 President end date *

2019 Membership Chair Name, Email, Phone

2019 Membership Chair start date

2019 Membership Chair end date

2019 Treasurer Name, email, Phone *

2019 Treasurer start date *

2019 Treasurer end date *

additional info if needed:

2019 Treasurer start date

2019 Treasurer end date

2019 Legislative Chair name, email, phone

2019 Legislative Chair start date

2019 Legislative Chair end date

additional info if needed:

2019 Legislative Chair start date

2019 Legislative Chair end date

2019 Publication editor name, email, phone

2019 Publication editor start date

2019 Publication editor end date

additional info if needed

2019 Publication editor start date

2019 Publication editor end date


Does the Chapter, Division or Region provide financial support for the Regional Representative to the NRA Board? *

Do you have any vacant Board positions? If yes, what positions are vacant?

Did the Chapter, Division or Region hold a membership drive in 2019? *

Did the Chapter, Division or Region contact expired members each month? *

Did membership increase in 2019? *

Were fundraising activities held in 2019? *

*if yes, please share

Does the Chapter, Division or Region publish a newsletter? if yes, please email copy to [email protected] *

Does the Chapter, Division or Region have a website? If so, please provide the URL here:

What are the Chapter, Division or Region’s membership goals for 2020? *

What activities are planned to help meet the membership goals? *

Did the Chapter, Division or Region hold a conference in 2019? If so, how many people attended? When and where was the conference held??

If you offered CE's, what type and how many hours were offered?

Will there be a conference in 2020? If so, where and when will it be held?

What accomplishments does the Chapter, Division or Region wish to report for 2019? (e.g. scholarships, service projects, etc.)

What three issues or concerns would you like the NRA Board of Directors or national office staff to address in 2020?

Is there anything else you would like the NRA Board and/or national office to know?

In case the NRA national office has questions, please list the name, email address and phone number of the individual or individuals who completed this report.

In conclusion, please submit your current Constitution and Bylaws to the NRA office at: [email protected]