IIBA Chapter Revitalization

Please complete this form to begin the IIBA Chapter Revitalization process

Chapter to be Revitalized

Current Chapter Name*

(Optional) New Chapter Name

Geographic Area

City*

Country*

State(s) or Province(s)

Postal or Zip Code(s)

Chapter Members

How many IIBA members are you anticipating will join your Chapter?

Contacts for IIBA Chapter Revitalization Activities

• Three contacts are required to co-ordinate the Chapter revitalization activities • Each contact must be an active IIBA Member in good standing (membership paid up) • Each contact must agree to IIBA’s Volunteer Terms and Conditions • Please indicate contact name, IIBA membership number, and email address • Indicate the primary contact first

Primary Contact

First Name*

Last Name*

E-mail*

IIBA Membership Number*

Secondary Contact

First Name*

Last Name*

E-mail*

IIBA Membership Number*

Additional Contact

First Name*

Last Name*

E-Mail*

IIBA Membership Number*

Business Plan

Submission of a business plan for IIBA approval ensures that the Chapter has a sustainable vision and the resources to support future growth and maturity.

File Attachments*

Drag and drop files here or

Additional Information

Please provide any additional information that will support your request to revitalize this Chapter.

Additional Information

Upon approval of your Application, IIBA will contact you and outline the next steps required to bring the Chapter to active chartered status.

If you have any questions, please contact Chapter@iiba.org

Send me a copy of my responses

Privacy Notice|Report Abuse