Chapter Officer Submission

Chapter Information
In order for a chapter to be considered active, AMSA must have an officer(s) on file. Notify AMSA of your officer assignments to ensure your chapter receives materials and information throughout the year.
Chapter Type*
School Name*
Faculty Advisor Name (if applicable)
First Last
Faculty Advisor Title
Faculty Advisor Email
Chapter Officer Terms
Chapter Officer terms should be for one year. Terms will follow AMSA's recruitment , May 1 to April 30 unless otherwise noted. If your Officers serve a term outside of AMSA's recruitment year, please indicate the dates in the fields below.
When are your chapter's Officer elections typically held?
Chapter Officer Term Start Date
Chapter Officer Term End Date

Chapter President
Chapter President Name*
First Last
Chapter President AMSA ID*
Chapter President Email*
- Add an additional officer
Additional Officers
The following positions are the only titles that our database accommodates. Co-Presidents should select "Chapter President." Officers with titles unavailable in the dropdown should select "Chapter Representative."
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
- Add an additional officer
Officer Name*
First Last
Officer AMSA ID
Officer Email*
Leadership Position*
Comments
This field is for validation purposes and should be left unchanged.

Chapter Information