2022 SCB Chapter Registration

SCB Chapters Annual Registration Form

Please complete your registration by XX 2024.

The information you provide keeps SCB up to date, ensures your Chapter will be eligible for funding and grant opportunities through SCB, maintains your status as an official Chapter of SCB, and enables SCB to highlight and share your Chapter's activities and successes with the broader SCB and conservation community.

Chapter Name: *

Institution/Organization (where your Chapter is based): *

City: *

State/Province: *

Country: *

Chapter Email

Chapter Website

Starting with the Chapter President, please enter the first and last names and email addresses of your Chapter officers. Please indicate the title of each officer (President, Vice President, Secretary, Member-at-Large, etc).

First Name: *

Last Name: *

Board Role: *

Email: *

First Name: *

Last Name: *

Board Role: *

Email: *

First Name: *

Last Name: *

Board Role: *

E-mail: *

First Name:

Last Name:

Board Role:

Email:

First Name:

Last Name:

Board Role:

Email:

First Name:

Last Name:

Board Role:

Email:

If you have more members on your board, please list them here (name, email address, board role):

Chapter Demographics
Please provide information / estimates on your Chapter demographics.

Estimate of Total Chapter Membership *

Number of SCB members: *

Undergraduate Students: *

Graduate Students: *

Professionals: *

Prospective SCB Members
Please upload an Excel list of attendees of your Chapter events (first and last name and email address). SCB may contact the individuals on the list to invite them to join the Society.

Prospective Member List

Chapter Activities for the Year
Please indicate the number of Chapter events and activities for the year (not including board meetings)

Number of Events/Activities: *

SCB Chapters Committee Conference Call Participation
Please indicate the number of SCB Chapter Committee conference calls that at least one rep from your Chapter participated on (if zero, please explain why)

Number of Calls Attended: *

Comments/Explanations

Chapter Activities: Grants and Funding
Briefly outline any grants applied for or received in 2021 (from SCB or elsewhere). Please provide project details, including amount applied for / amount received.

Outline grants and funding

Chapter Activities: Successes
Briefly describe the activities of your Chapter over the past year. The information will be used to share with the broader SCB community.

Chapter Activities *

Chapter Policy Work
Briefly describe your Chapter's policy activities, if any, along with any money you may have spent on policy activities (if any). This information is critical to SCB's non-profit status as a 501(c)3 in the United States. If we report policy activities inacurrately our non-profit status could be lost.

Describe policy activities, if any.

Chapter Plans/Goals
Briefly describe some of your Chapter's goals for 2022.

Chapter Activities: Photos
Please share any photos you may have of Chapter activities / board meetings.

Chapter photos

If you've uploaded photos, please describe what's happening in the photo. If possible, please provide captions for your photos, including the photographer.