Step 1 of 12 - Chapter Info 0% I. Chapter InformationChapter NameSchool Name*Region (Choose from drop-down menu)*I – CT, ME, MA, NH, NY, RI, VTII – DE, MD, NJ, PA, DCIII-E – NC, SC, VAIII-W – TN, WVIII-S – AL, FL, GA, MS, PRIV-E – KY, MI, OHIV-W – IL, IN, WIV – IA, MN, NE, ND, SD, WYVI – AR, KS, LA, MO, OK, TXVII – BC, ID, MT, OR, UT, WAVIII – AK, AZ, CA, CO, HI, NV, NMChapter Code (Choose school from alphabetical drop-down)*075 Albany - ACPHS097 Appalachian College of Pharmacy006 Auburn University108 Belmont University045 Butler University116 California Northstate University081 Campbell University132 Cedarville University137 Chapman University110 Chicago State University126 Concordia University Wisconsin025 Creighton University122 D’Youville College042 Drake University026 Duquesne University101 East Tennessee State University134 Fairleigh Dickinson University060 Ferris State College078 Florida A & M University086 Hampton University111 Harding University066 Howard University123 Husson University044 Idaho State University140 Keck Graduate Institute - KGI091 Lake Erie College of Osteopathic Medicine112 Lipscomb University089 Loma Linda University056 Long Island University133 Manchester University135 Marshall University023 MCPHS University Boston088 MCPHS University Worcester073 Mercer University085 Midwestern University Arizona082 Midwestern University Chicago033 MUSC010 North Dakota State University117 Northeast Ohio Medical University067 Northeastern University115 Notre Dame of Maryland University080 Nova Southeastern University071 Ohio Northern University002 Oregon State University094 Palm Beach Atlantic University124 PCOM – Georgia043 Philadelphia College of Pharmacy120 Presbyterian College030 Purdue University119 Regis University128 Roosevelt University131 Rosalind Franklin University031 Rutgers University SUNJ050 Samford University087 Shenandoah University127 South College019 South Dakota State University092 South University098 Southern Illinois University – Edwardsville068 Southwestern Oklahoma State University102 St. John Fisher College052 St. John’s University058 St. Louis College of Pharmacy106 Sullivan University059 Temple University096 Texas A & M Health Science Center076 Texas Southern University084 Texas Tech University020 The Ohio State University125 Thomas Jefferson University109 Touro College New York100 Touro University California113 Union University024 University at Buffalo047 University of Arizona057 University of Arkansas099 University of British Columbia035 University of California San Francisco107 University of Charleston061 University of Cincinnati032 University of Colorado027 University of Connecticut104 University of Findlay009 University of Florida034 University of Georgia105 University of Hawai’i at Hilo063 University of Houston021 University of Illinois at Chicago004 University of Iowa041 University of Kansas038 University of Kentucky070 University of Louisiana at Monroe015 University of Maryland Baltimore114 University of Maryland Eastern Shore001 University of Michigan012 University of Minnesota022 University of Mississippi048 University of Missouri-Kansas City065 University of Montana029 University of Nebraska118 University of New England074 University of New Mexico014 University of North Carolina136 University of North Texas Health Science Center - UNTHSC003 University of Oklahoma039 University of Pittsburgh079 University of Puerto Rico064 University of Rhode Island121 University of Saint Joseph049 University of South Carolina130 University of South Florida008 University of Southern California037 University of Tennessee013 University of Texas at Austin138 University of Texas at Tyler103 University of the Incarnate Word072 University of the Pacific055 University of Toledo053 University of Utah017 University of Washington007 University of Wisconsin069 University of Wyoming011 Virginia Commonwealth University005 Washington State University046 Wayne State University139 West Coast University036 West Virginia University129 Western New England University090 Western University of Health Sciences083 Wilkes University093 Wingate University077 Xavier University of Louisiana II. Chapter OfficersCurrent Chapter OfficersPlease use dropdown to select the title that applies. Click the + to save entries and add additional rows. If you need to add an item that is not in the list, simply type it in title and press enter. (i.e., Liaison, Coordinator). TitleFirst NameLast NameEmail Address PresidentVice-PresidentSecretaryHistorianTreasurer III. Advisor(s) Contact InformationThe primary advisor is responsible for submitting this form.Primary Advisor's Name* First Last Primary Advisor's Email* Primary Advisor's PhoneAdditional Advisor(s)First NameLast NameEmailPhone IV. Chapter History/Background (Max 500 words)Provide a brief history of the school and chapterExample: how old is the school, anything unique to the school, when was the chapter establishedPharmD Program StructureCheck all that apply. 3-year Program 4-year Program 0-6 Program Grading structure for core didactic materialsPass/failA, B, C, D, FGrading structure for IPPE and APPEsPass/failA, B, C, D, FDid the chapter follow Rho Chi Initiation Ritual procedures?YesNoPlease provide a brief description of the ritualWhen was the initiation held? Date Format: MM slash DD slash YYYY Where was the initiation held (city and state)?At what venue was the initiation held?How many administrators attended?How many faculty attended?How many alumni attended?Who presided over the initiation ritual?Faculty AdvisorDeanNational Rho Chi Officer V. Objectives / Strategic PlanThis section WILL be scored starting in 2020-2021. Select the objectives from Rho Chi’s 2019-2023 Strategic Plan from below and provide your chapter’s specific strategies for meeting the objectives you selected. A minimum of one objective must be selected. (Note: You do NOT have to select every objective, please only select objectives that most apply to your chapter's activities)(EXAMPLE) - Identify the chapter-specific strategies that support the selected objectives. (Note: activity details/supporting information will be reported in the Service or the Intellectual Inquiry Activities sections) 1. Example: Foster collaboration. Strategy: Develop a social media plan to facilitate communication among Rho Chi chapter committees. Select your objectives:Please select a minimum of one (CTRL + Click to select or deselect more than one)1. Encourage and recognize intellectual achievement2. Stimulate critical inquiry to advance pharmacy3. Contribute to the development of intellectual leaders4. Promote highest ethical standards5. Foster collaborationExplain your strategy for: Encourage and recognize intellectual achievementExplain your strategy for: Stimulate critical inquiry to advance pharmacyExplain your strategy for: Contribute to the development of intellectual leadersExplain your strategy for: Promote highest ethical standardsExplain your strategy for: Foster collaboration VI. Meeting Planning/Business Organization DetailsHow many times has your chapter held a member meeting over the past academic year?01234567891010+On average, how many members attended?How many times have you held a board meeting over the past academic year?01234Abbreviated Meeting NotesPlease provide one abbreviated example of chapter minutes and board minutes by listing topics discussed. VII. Service Activities **** Activities counted in this section, may not be repeated again in any other section. Service Activities encompass events your chapter does to help peers and your community. (Examples: outreach events, tutoring, and health fairs.) Report the same activity provided multiple times in aggregate (e.g. tutoring services for multiple courses; same health fair conducted on three different days; a diabetes awareness outreach education program provided at two senior centers; etc.). If different and separate service activities were developed/provided, each event can be reported as an individual activity (e.g. an outreach program on diabetes awareness to seniors and an outreach program on medication safety to children can be reported as two activities). Do you have any service activities you wish to report?YesNoIf yes, how many service activities? (Choose up to 5 chapter service activities)12345Service Activity 1Title of Activity 1Brief Description of Activity 1Is Activity 1 new or an existing activity?NewExistingHow long has Activity 1 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Activity 1 in the last year?YesNoPlease describe the changes made to Activity 1Who provided this Activity 1?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Activity 1?(i.e. Patients, students, etc)How did this Activity 1 impact the attendees and/or the profession?Example: 10 patients were educated on the risk of high blood pressure to help improve their outcomes.Describe assessments completed for Activity 1 if applicableExample: post-survey of the 10 patients evaluated their knowledge of the risks of high blood pressure and their satisfaction with the education.Service Activity 2Title of Activity 2Brief Description of Activity 2Is Activity 2 new or an existing activity?NewExistingHow long has Activity 2 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Activity 2 in the last year?YesNoPlease describe the changes made to Activity 2Who provided this Activity 2?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Activity 2?(i.e. Patients, students, etc)How did this Activity 2 impact the attendees and/or the profession?Example: 10 patients were educated on the risk of high blood pressure to help improve their outcomes.Describe assessments completed for Activity 2 if applicableExample: post-survey of the 10 patients evaluated their knowledge of the risks of high blood pressure and their satisfaction with the education.Service Activity 3Title of Activity 3Brief Description of Activity 3Is Activity 3 new or an existing activity?NewExistingHow long has Activity 3 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Activity 3 in the last year?YesNoPlease describe the changes made to Activity 3Who provided this Activity 3?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Activity 3?(i.e. Patients, students, etc)How did this Activity 3 impact the attendees and/or the profession?Example: 10 patients were educated on the risk of high blood pressure to help improve their outcomes.Describe assessments completed for Activity 3 if applicableExample: post-survey of the 10 patients evaluated their knowledge of the risks of high blood pressure and their satisfaction with the education.Service Activity 4Title of Activity 4Brief Description of Activity 4Is Activity 4 new or an existing activity?NewExistingHow long has Activity 4 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Activity 4 in the last year?YesNoPlease describe the changes made to Activity 4Who provided this Activity 4?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Activity 4?(i.e. Patients, students, etc)How did this Activity 4 impact the attendees and/or the profession?Example: 10 patients were educated on the risk of high blood pressure to help improve their outcomes.Describe assessments completed for Activity 4 if applicableExample: post-survey of the 10 patients evaluated their knowledge of the risks of high blood pressure and their satisfaction with the education.Service Activity 5Title of Activity 5Brief Description of Activity 5Is Activity 5 new or an existing activity?NewExistingHow long has Activity 5 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Activity 5 in the last year?YesNoPlease describe the changes made to Activity 5Who provided this Activity 5?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Activity 5?(i.e. Patients, students, etc)How did this Activity 5 impact the attendees and/or the profession?Example: 10 patients were educated on the risk of high blood pressure to help improve their outcomes.Describe assessments completed for Activity 5 if applicableExample: post-survey of the 10 patients evaluated their knowledge of the risks of high blood pressure and their satisfaction with the education. VIII. Intellectual Inquiry Activities **** Activities counted in this section, may not be repeated again in any other section. Intellectual Inquiry Activities are activities your chapter has done that have contributed to scientific knowledge. (Examples: publishing in a peer-reviewed journal, abstract/poster presented at a conference, podium presentation at a conference, in-service to providers, and local university poster presentation.) Report the same activity in aggregate (e.g. poster presentation delivered at a national conference and encore provided at a regional meeting; same abstract submitted to two conferences; continuing education program presented twice; etc.). Different intellectual inquiry activities stemming from the same research can be reported separately (e.g. abstract, poster, and manuscript based on the same research accepted for publication/presentation can be reported as three activities).Do you have any Intellectual Inquiry Activities you wish to report?YesNoIf yes, how many Intellectual Inquiry Activities? (Choose up to 5 activities)12345Intellectual Inquiry Activity 1Title of Intellectual Inquiry Activity 1Brief Description of Intellectual Inquiry Activity 1Is Intellectual Inquiry Activity 1 new or an existing activity?NewExistingHow long has Intellectual Inquiry Activity 1 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Intellectual Inquiry Activity 1 in the last year?YesNoPlease describe the changes made to Intellectual Inquiry Activity 1Was Intellectual Inquiry Activity 1 published, presented or disseminated outside of the school?YesNoIf so, How and Where was Intellectual Inquiry Activity 1 announced?Examples: Information was published in a peer-reviewed journal, abstract/poster presented at conference, podium presentation at conference, in-service to providers, local university poster presentation.Who provided this Intellectual Inquiry Activity 1?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Intellectual Inquiry Activity 1?(i.e. Students, etc)How did Intellectual Inquiry Activity 1 impact the attendees and/or the profession?Example: Rho chi organized a school wide poster presentation of student research projects. Describe assessments completed for Intellectual Inquiry Activity 1 if applicableExample: post-survey of students and faculty who attended the poster presentation assessed awareness of colleagues’ research projectsIntellectual Inquiry Activity 2Title of Intellectual Inquiry Activity 2Brief Description of Intellectual Inquiry Activity 2Is Intellectual Inquiry Activity 2 new or an existing activity?NewExistingHow long has Intellectual Inquiry Activity 2 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Intellectual Inquiry Activity 2 in the last year?YesNoPlease describe the changes made to Intellectual Inquiry Activity 2Was Intellectual Inquiry Activity 2 published, presented or disseminated outside of the school?YesNoIf so, How and Where was Intellectual Inquiry Activity 2 announced?Examples: Information was published in a peer-reviewed journal, abstract/poster presented at conference, podium presentation at conference, in-service to providers, local university poster presentation.Who provided this Intellectual Inquiry Activity 2?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Intellectual Inquiry Activity 2?(i.e. Students, etc)How did Intellectual Inquiry Activity 2 impact the attendees and/or the profession?Example: Rho chi organized a school wide poster presentation of student research projects. Describe assessments completed for Intellectual Inquiry Activity 2 if applicableExample: post-survey of students and faculty who attended the poster presentation assessed awareness of colleagues’ research projectsIntellectual Inquiry Activity 3Title of Intellectual Inquiry Activity 3Brief Description of Intellectual Inquiry Activity 3Is Intellectual Inquiry Activity 3 new or an existing activity?NewExistingHow long has Intellectual Inquiry Activity 3 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Intellectual Inquiry Activity 3 in the last year?YesNoPlease describe the changes made to Intellectual Inquiry Activity 3Was Intellectual Inquiry Activity 3 published, presented or disseminated outside of the school?YesNoIf so, How and Where was Intellectual Inquiry Activity 3 announced?Examples: Information was published in a peer-reviewed journal, abstract/poster presented at conference, podium presentation at conference, in-service to providers, local university poster presentation.Who provided this Intellectual Inquiry Activity 3?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Intellectual Inquiry Activity 3?(i.e. Students, etc)How did Intellectual Inquiry Activity 3 impact the attendees and/or the profession?Example: Rho chi organized a school wide poster presentation of student research projects. Describe assessments completed for Intellectual Inquiry Activity 3 if applicableExample: post-survey of students and faculty who attended the poster presentation assessed awareness of colleagues’ research projectsIntellectual Inquiry Activity 4Title of Intellectual Inquiry Activity 4Brief Description of Intellectual Inquiry Activity 4Is Intellectual Inquiry Activity 4 new or an existing activity?NewExistingHow long has Intellectual Inquiry Activity 4 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Intellectual Inquiry Activity 4 in the last year?YesNoPlease describe the changes made to Intellectual Inquiry Activity 4Was Intellectual Inquiry Activity 4 published, presented or disseminated outside of the school?YesNoIf so, How and Where was Intellectual Inquiry Activity 4 announced?Examples: Information was published in a peer-reviewed journal, abstract/poster presented at conference, podium presentation at conference, in-service to providers, local university poster presentation.Who provided this Intellectual Inquiry Activity 4?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Intellectual Inquiry Activity 4?(i.e. Students, etc)How did Intellectual Inquiry Activity 4 impact the attendees and/or the profession?Example: Rho chi organized a school wide poster presentation of student research projects. Describe assessments completed for Intellectual Inquiry Activity 4 if applicableExample: post-survey of students and faculty who attended the poster presentation assessed awareness of colleagues’ research projectsIntellectual Inquiry Activity 5Title of Intellectual Inquiry Activity 5Brief Description of Intellectual Inquiry Activity 5Is Intellectual Inquiry Activity 5 new or an existing activity?NewExistingHow long has Intellectual Inquiry Activity 5 been ongoing?1 Year2 Years3+ YearsHave there been any modifications to Intellectual Inquiry Activity 5 in the last year?YesNoPlease describe the changes made to Intellectual Inquiry Activity 5Was Intellectual Inquiry Activity 5 published, presented or disseminated outside of the school?YesNoIf so, How and Where was Intellectual Inquiry Activity 5 announced?Examples: Information was published in a peer-reviewed journal, abstract/poster presented at conference, podium presentation at conference, in-service to providers, local university poster presentation.Who provided this Intellectual Inquiry Activity 5?(i.e. Rho Chi member and other association/organization, if done in collaboration, and number of participants)Who attended Intellectual Inquiry Activity 5?(i.e. Students, etc)How did Intellectual Inquiry Activity 5 impact the attendees and/or the profession?Example: Rho chi organized a school wide poster presentation of student research projects. Describe assessments completed for Intellectual Inquiry Activity 5 if applicableExample: post-survey of students and faculty who attended the poster presentation assessed awareness of colleagues’ research projects IX. Alumni RelationsThis section WILL be scored for the 2020-2021 annual report. Do you have any Alumni Related Chapter Initatives you wish to report?YesNoAlumni Related Chapter InitiativesAlumni Related Chapter Initiatives – Title of ActivityBrief Description of Alumni Related Chapter ActivityExamples: invitation to speak at induction ceremony, recognition through awards, mentor program, invitations to attend/precept Rho Chi events, newsletters.What methods are used to maintain and update an active alumni database?Please briefly describe how alumni participated this past year and how many participated.Examples: Presented to Rho Chi students, precepted a Rho Chi event, hosted a Rho Chi event or served as a mentor, attended Rho Chi eventsDid your chapter nominate an alumnus for the Rho Chi Alumni Honor Roll this past year?YesNoProvide who you nominated for the Honor Roll First Last X. Overall Budget(DO NOT PROVIDE FOR EACH EVENT; use table provided to report annual budget):Overall Budget Items:Please use dropdown to select each category that applies. If you need to add an item that is not in the list, simply type the name and click + to save and add another row. (i.e., Scholarship award).Item NameAmount Starting BudgetFundraisingOther Funds (i.e., college funds, awards)Total Amount Spent on Activities for the Academic YearEnding Budget XI. Chapter AwardsDid your chapter apply for the Chapter Project Proposal Award in the current award cycle?YesNoDid your chapter receive the Chapter Project Proposal Award in the current award cycle?YesNoPlease briefly describe the project and submission period.Spring Submissions - Deadline January 15 / Summer Submissions - Deadline June 1 XII. Most Improved Chapter (Optional)Would your chapter like to be considered for the MOST Improved chapter?Only chapters who have submitted an annual report the previous year are eligible.YesNoPlease indicate the significant improvements your chapter has made which should be considered for this award in the Summary and three activity categories (Alumni Relations, Intellectual Inquiry and Service) below. REQUIREDThe recipient of the Most Improved Chapter will receive a certificate and recognition at the Annual Rho Chi Meeting. The award is determined by the chapter’s brief descriptive summaries and sustainability of new activities implemented during the current reporting year. (Max 100 words per area: Alumni Relations Activities, Intellectual Inquiry Activities, and Service Activities) Alumni Relations Activities (Max. 100 words)Describe what your chapter did in the previous year (2019-2020);Alumni Relations Activities (Max. 100 words)How has your chapter improved in this area for the 2020-2021 year and how are the changes sustainable?Intellectual Inquiry Activities (Max. 100 words)Describe what your chapter did in the previous year (2019-2020)Intellectual Inquiry Activities (Max. 100 words)How has your chapter improved in this area for the 2020-2021 year and how are the changes sustainable?Service Activities (Max. 100 words)Describe what your chapter did in the previous year (2019-2020).Service Activities (Max. 100 words)How has your chapter improved in this area for the 2020-2021 year and how are the changes sustainable?Summary (Max. 100 words)Overall, why should your chapter be considered for the Most Improved Chapter Award? Please Note... Please remember that you should only submit the form when it is complete. Once it has been submitted, there is no way to edit or change anything. If you need to gather more information or have someone else fill in a section, click on SAVE AND CONTINUE LATER. You will be provided a link to come back to your application or to share with someone to complete the process.NameThis field is for validation purposes and should be left unchanged.