STARFLEET Region One Annual Awards
Chapter Entry Form

 Chapter Name    Registry       State of Charter 

 Vessel Class    Launch Date       Shuttle? 

 Number of SFI Members


Recommending Officer    Chapter E-mail:

 Participation Level:   Chapter has Newsletter  Chapter has Manual 

 Chapter Activities/Accomplishments

Regional Section Accomplishments/Participation

Regional Accomplishments/Participation

Fleet Accomplishments/Participation

Community/Charitable Service


ESSAY:How does your chapter demonstrate the meaning and spirit and meaning of STARFLEET this year? 


Prepared by : List Officer's who helped prepare this entry