NPHC Council Resource

Council Roster
Outline.

Submit current council leadership, chapter representation and contact information to NPHC National Headquarters.

Before you begin

Please complete the form in its entirety. All email addresses and phone numbers must be entered. Use N/A where needed. New Charter and Reactivating Councils should not complete this form until instructed by the Area Coordinator and/or Alumni or Collegiate Chair.

What you’ll need

Have your council information ready.

Submitting officer and council contact information

Council mailing address, website and general email accounts

Term dates and next election date

Executive board officer information

Member chapter delegates and chapter presidents

Official Submission

NPHC Council Roster

Fields marked as required must be completed before submission. Explain any N/A entries in the final section.

Have you been instructed to complete this form by your Area Coordinator and/or the Alumni or Collegiate Chair?

Yes
No — STOP and contact your Area Coordinator

NEW CHARTER/REACTIVATING COUNCILS: Do not complete this form until instructed.

Council Status

Existing Council
New Charter
Reactivating Council

Council Type

Alumni Council
Collegiate Council

Number (#) of Chapters in Your Council

For Fiscal Year?

Name of Person Completing Form

First

Last

Title of Person Completing Form

Email of Person Completing Form

Phone Number of Person Completing Form

Council Preferred Time Zone

NPHC Area

NPHC Council Name

Spell out full name of council. No abbreviations; include state.

Council Website Address

Council List-Serve Address

Link to subscribe to Mailchimp, Constant Contact, etc.

Council Passdown Email Address

General council email passed down after each term.

Council Correspondence Email Address

(Collegiate Council Only) Campus-Based Advisor Name

Person employed by the university to advise the council. Enter N/A if not applicable.

(Collegiate Council Only) Campus-Based Advisor Email

(Collegiate Council Only) Campus-Based Advisor Phone Number

President — Name

President — Organization

President — Chapter

President — Email

President — Phone

Vice President — Name

Vice President — Organization

Vice President — Chapter

Vice President — Email

Vice President — Phone

Recording Secretary — Name

Recording Secretary — Organization

Recording Secretary — Chapter

Recording Secretary — Email

Enter a valid email address, or N/A if this role does not apply.

Recording Secretary — Phone

Corresponding Secretary — Name

Corresponding Secretary — Organization

Corresponding Secretary — Chapter

Corresponding Secretary — Email

Enter a valid email address, or N/A if this role does not apply.

Corresponding Secretary — Phone

Treasurer — Name

Treasurer — Organization

Treasurer — Chapter

Treasurer — Email

Enter a valid email address, or N/A if this role does not apply.

Treasurer — Phone

Financial Secretary — Name

Financial Secretary — Organization

Financial Secretary — Chapter

Financial Secretary — Email

Enter a valid email address, or N/A if this role does not apply.

Financial Secretary — Phone

Parliamentarian — Name

Parliamentarian — Organization

Parliamentarian — Chapter

Parliamentarian — Email

Enter a valid email address, or N/A if this role does not apply.

Parliamentarian — Phone

Sergeant-at-Arms — Name

Sergeant-at-Arms — Organization

Sergeant-at-Arms — Chapter

Sergeant-at-Arms — Email

Enter a valid email address, or N/A if this role does not apply.

Sergeant-at-Arms — Phone

Chaplain — Name

Chaplain — Organization

Chaplain — Chapter

Chaplain — Email

Enter a valid email address, or N/A if this role does not apply.

Chaplain — Phone

Other Executive Board Member 1 — Name

Other Executive Board Member 1 — Organization

Other Executive Board Member 1 — Chapter

Other Executive Board Member 1 — Email

Other Executive Board Member 1 — Phone

Other Executive Board Member 2 — Name

Other Executive Board Member 2 — Organization

Other Executive Board Member 2 — Chapter

Other Executive Board Member 2 — Email

Other Executive Board Member 2 — Phone

Other Executive Board Member 3 — Name

Other Executive Board Member 3 — Organization

Other Executive Board Member 3 — Chapter

Other Executive Board Member 3 — Email

Other Executive Board Member 3 — Phone

Other Executive Board Member 4 — Name

Other Executive Board Member 4 — Organization

Other Executive Board Member 4 — Chapter

Other Executive Board Member 4 — Email

Other Executive Board Member 4 — Phone

Other Executive Board Member 5 — Name

Other Executive Board Member 5 — Organization

Other Executive Board Member 5 — Chapter

Other Executive Board Member 5 — Email

Other Executive Board Member 5 — Phone

Member Chapter Delegate/Representative Information

Enter each member chapter on a separate line: Chapter | Delegate/Representative Name | Organization | Email | Phone.

Member Chapter President Information

Enter each member chapter on a separate line: Chapter | President Name | Organization | Email | Phone.

Explain Any N/A Entries

If you entered N/A in any required field, explain those entries here. Otherwise, leave this field blank.

Information Certification

I certify that the information provided is complete and accurate to the best of my knowledge.