Professional Chapter Monthly Health Reporting

Reporting Month*
If you need to submit your chapters monthly reporting prior to February 1, 2019. Please send your monthly reports to profchapters@ama.org.
Reporting Year*
Chapter Name*
Please select your chapter name, if you do not see your chapter listed contact profchapters@ama.org.
Submitter's Name
First Last
Month Financials
Net Income (Budget): $
Net Income (Actual): $
Month Events
Total Number of Events (Goal):
Total Number of Events (Actual):
Did you have more than one event during this reporting month?
Total Attendance (Goal):

This is the total number of attendance (goal) across all of your chapter’s events for this reporting month.
Total Attendance (Actual):

This is the total number of attendance (actual) across all of your chapter’s events for this reporting month.
Month Board Management
Was a Board Meeting held?
Number of Board Positions Filled:
Number of Board Positions Vacant:
Is the President-Elect Position Vacant?

Month Financials