INTERNATIONAL READING ASSOCIATION 2012 OFFICERS REPORT for IRA STATE/PROVINCIAL READING COUNCILS

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IRA relies on a completed Officers Report Form to ensure effective communication with your council's leadership team throughout the 2012-2013 term. In addition, your responses provide a more complete picture of the council network and the contributions each council makes to promoting literacy.

Information you provide will be used by IRA to improve council services and to better equip councils to share their successes. Please attach your council's membership roster. IRA can also receive membership rosters separately by emailing councils@reading.org.

Important Reminder:

The Completed Officer Report Form and maintaining IRA membership are requirements for Councils to remain in good standing with IRA and participate in award programs.

Also, it is the responsibility of the Past President to be sure the Officer Report is completed by the due date indicated below. IRA appreciates your time and attention to this form.

Please submit this form by May 1, 2012. Thank you.

Please be sure to print this form for your records before clicking submit.

* Indicates Response Required

COUNCIL INFORMATION

* Full Council Name (no abbreviations)

* State/Province

* Annual dues

* Total Council Membership

* Total IRA Members

Council Website URL

* Dues collection

Unified

Separate from local/special interest

Upload membership roster

If you prefer to email your Membership Roster, please indicate the date sent to councils@reading.org.

2012-2013 Officers (Note: Term Dates are July 1st-June 30th)

PRESIDENT

First Name

Last Name

IRA member number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

CO PRESIDENT(1)

First Name

Last name

IRA membership number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

CO PRESIDENT(2)

First Name

Last name

IRA membership number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

PRESIDENT-ELECT

First name

Last name

IRA member number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

VICE PRESIDENT

First name

Last name

IRA membership number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

SECRETARY

First name

Last name

IRA membership number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

COORESPONDING SECRETARY

First name

Last name

IRA membership number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

RECORDING SECRETARY

First name

Last name

IRA membership number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferred Email Address

EXECUTIVE SECRETARY/EXECUTIVE DIRECTOR/PAID STAFF

First name

Last name

IRA membership number

Preferred Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

TREASURER

First name

Last name

IRA membership number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

DIRECTOR OF MEMBERSHIP

First name

Last name

IRA number

Preferred Mailing Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

CO DIRECTOR OF MEMBERSHIP (1)

First name

Last name

IRA number

Preferred Email Address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

CO DIRECTOR OF MEMBERSHIP (2)

First name

Last name

IRA number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferrred Mailing Address

IRA COORDINATOR (1)

First name

Last name

IRA number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

IRA COORDINATOR (2)

First name

Last name

IRA number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

EXEMPLARY READING PROGRAM CHAIRPERSON

First name

Last name

IRA number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferred Mailng Address

IMMEDIATE PAST PRESIDENT (2011-2012)

First name

Last name

IRA number

Preferred Email address

Confirm Email Address

Preferred Telephone Number

Preferred Mailing Address

Permission to publish email address

State/Provincial Conference

Meeting Information

	2012 conference	2013 conference
Dates
Location
Contact name
Contact email

US Councils Only

US Councils Only - Most recent 990 Form Filed

Most recent month/year filed

* Council Incorporated

	Yes	No
Please select one

Year of most recent external audit

Individual Completing Form

* First name

* Last name

* Preferred Telephone Number

* Email address

* Confirm Email Address

* Indicates Response Required