COSP - Sharing of Accomplishments

COUNCIL OF STATE PRESIDENTS

SHARING OF ACCOMPLISHMENTS
State*
Name of State Association:*
Contact Name:*

First NameLast Name
Email*

Confirmation Email
Contact Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Contact Phone Number
State Association Website Address
Name of State Consultant

First NameLast Name
State Consultant E-mail
Name of State Consultant

First NameLast Name
State Consultant E-mail
Does your association have a policy and procedure manual?

YesNo
Does your association have staff?

YesNo
Is your staff paid?

YesNo
Does your association have a state newsletter?

Yes printed and mailed onlyYes online onlyYes both online and printed and mailedNo, we do not have a state newsletter
Does your association have a Facebook page?

YesNo
What is the URL for the Facebook page?
List other communication methods
State Convention Information:
Date of Convention

MonthDayYear
Place of convention (i.e. name of hotel):
City and State of Convention:
Held in conjunction with your state nurses association?

YesNo
ACCOMPLISHMENTS

Please list and describe some recent accomplishments.
Membership Recruitment:
Image of Nursing:
Breakthrough to Nursing:
Community Health:
Legislation Education:
Global Initiatives:
Resolutions:
Fundraising:
Finances:
Other:
What is your associations Employee Identification Number?
Is your association incorporated?

YesNoUnsure
Are your state association's TAX FORM IRS 990 submissions up-to-date?

YESNOUnsure
Does your association have:
An annual operating budget?

YesNoUnsure
A checking account?

YesNoUnsure
A savings account?

YesNoUnsure
A reserve fund?

YesNoUnsure
Investments?

YesNoUnsure
Additional Comments to Finances:
Please list the annual events your state association hosts or co-hosts. Briefly describe each:
Please list one event or activity that your highly recommend other assocaitions consider implementing.
Assistance needed:
Additional Comments:
Thank you for your time and dedication to NSNA!
Should be Empty:

COUNCIL OF STATE PRESIDENTS

State Convention Information:

ACCOMPLISHMENTS