Organization's Name:  ____________________________________________________________________ 

Membership Report: 
   Number of Active Members                 __________ 
   Number of Inactive Members               __________ 
   Combined Total                                   __________ 

   Number of Freshmen                           __________ 
   Number of Sophomores                       __________ 
   Number of Juniors                               __________ 
   Number of Seniors                              __________ 
   Number of Full-time                            __________ 
   Number of Part-time                           __________ 
   Number of Men                                  __________ 
   Number of Women                             __________ 

Club Expenditures: 
   1.  __________ 
   2.  __________ 
   3.  __________ 
   4.  __________ 

   Total:  _______ 

Major Service Projects: 

   1.  _______________________________________________________________ 

   2.  _______________________________________________________________ 

   3.  _______________________________________________________________ 

Comments:  __________________________________________________________ 

Meetings:  _________________________________________________ 
                                Day                       Time                  Date 

Signed:  ___________________________________________________ 
                          President                    Date                    Advisor