Advisor Annual Report

We appreciate your service this year as a Mortar Board chapter advisor. We value how closely you work with the chapter and look forward to reading your comments. Your evaluation and suggestions will help us build stronger chapters.

This report is required from each chapter’s senior advisor, and we also welcome submissions from all chapter advisors. This report is designed to gauge your satisfaction as an advisor and to track your progress. Pass the completed reports to your advising successor if applicable.

Thank you for taking the time to think critically about the chapter and your advising role.

CONTACT INFORMATION

Institution *

Your name *

Prefix First Name Last Name Suffix

Institutional title *

Street address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Primary email *

Secondary email

Phone number *

Area Code Phone Number

ADVISOR ROLE & INFORMATION

How long have you been a Mortar Board advisor? *

Please indicate in months or years

Are you the senior advisor? *

Yes No

Will you be an advisor again next year? *

Yes No Maybe

If no, who is your successor?

First Name Last Name

Institutional title

Email

Number of advisors on advisory team (including yourself): *

Are you a member of Mortar Board? *

Yes, I am a member No, I am not a member

CHAPTER OPERATIONS

Please describe how your chapter achieved their goals and/or where they faced challenges. *

Please briefly describe 1-3 opportunities for the chapter: *

Please briefly describe 1-3 threats to the chapter: *

CONFERENCE INFORMATION

Are you planning to attend the National Conference? *

Yes No Maybe

If no, what is the reason?

Are you interested in attending LEAD: Leadership Excellence and Advisor Development? *

Yes No Maybe Already attended

Would you be interested in getting involved with Mortar Board at the national level in any of the following areas? (Check all that apply)

Service on a committee or as a committee chair Section coordinator National Council

CAMPUS SUPPORT/ACKNOWLEDGEMENT

Would you like Mortar Board to send a letter acknowledging your role as chapter advisor to your supervisor and other individual(s) at your institution?

Yes No

Person

Prefix First Name Last Name Suffix

Institutional title

Department

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Person

Prefix First Name Last Name Suffix

Institutional title

Department

Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country