Association Management by the American College of Surgeons Assessment Form

Association Management by the American College of Surgeons Assessment Form
Please provide us with following information regarding your Association/Chapter.
Association/Chapter Name:
Contact Name/ Title:
Address:
City:
State:
Zip:
Phone:
Email:
Website:
Briefly describe the association or organization:
Choose which option(s) best describes your organizational status:

Private for ProfitNon profit - 501 (c)(3)Non profit - 501 (c)(6)Not sure
Is the organization in good standing (state/federal requirements)?

YesNoNot sure
When was the organization incorporated?
Who currently manages the organization?
Please describe any short-term goals set by the organization (six months to one year):

Please disclose any further details about the organization that may be required for future management services:
Thank you for completing the Association Management by the ACS Assessment!

We appreciate your time and will respond to your request shortly. Should you have any additional questions at this time, please contact:

Denise Goode, CAE
Senior Manager, Association Management Services
dgoode@facs.org
phone: 312-202-5437
Should be Empty: