Chapters Annual Registration Form

Please file your registration between 23 January - 26 February. Please consult the Chapters Handbook for specific directions.

Please complete the form below. Enter information from the year that just ended. The information you provide keeps SCB up to date. We also use this information to highlight Chapter activities in our annual report.

>> PLEASE BE SURE TO SUBSCRIBE YOUR OFFICERS TO THE CHAPTERS LISTSERV <<

The Executive Office is eager to share your Chapter activities and publications. If you have fliers, annual reports or other unique information you would like to share, please mail it to the address below.

Chapters Coordinator
Society for Conservation Biology
1133 15th St. NW, Suite 300
Washington, DC 20005US
United States
Email: membership@conbio.org
Phone: +1-202-234-4133
Fax: +1-706-995-4633

Chapter Information: Chapter Name*

Organization*

Address*

City*

State*

Country*

Postal Code*

Phone* Fax

Email*

Web Site

Chapter Officers at Time of Posting
President Full Name Email

Vice President Full Name Email

Secretary Full Name Email

Chief Financial Officer Full Name Email

Other Other Full Name Email

Chapter Activities for Year: Number of meetings held Annual dues (per member):
TOTAL Membership: Number of SCB members (number, only):

Approximate Number of Chapter members who are: Undergraduates Graduate Students Professionals

Chapter Activities: Conference Calls Chapter Conference calls a rep. from your chapter has been on
(if zero please explain why). Comments/Explanations

Chapter Activities: Successes and Plans Briefly describe the activities of your SCB Chapter over the past year, some of your successes and plans for growth. This information will be used to report on Chapter progress to the Board of Governors and SCB membership.

Chapter Activities: Policy Activities Describe your Chapter's policy activities (if any). Include all policy advocacy actions and all monetary expenditures (see Chapters Handbook for more detail). This information is critical to SCB's non-profit status as a 501(c)(3) in the United States. If we report policy activities inaccurately, we may lose our non-profit status. Please list the amount your Chapters spent on policy or advocacy activities (if any). $

Chapter Activities: Grants and Funding Outline any grants applied for or received during the past year. Please provide project details, amount applied for, amount received, funding source:

Outline any funding you intend to apply for in the next 2 years (include potential funding source). If possible, please include a budget for how the funds will be spent over the next 2 years.

Chapter Activities: Photos Please Attach Photo - JPG, PNG or GIF only. All files must be less than 2MB.

Chapter Activities: Photo Comments and Projects Please tell us about the picture, or a story about a particular project or program that we can use on our newsfeed/blog SCB chapters website to highlight chapter activities.

*=required fields