Omega Omega Profile Sheet
Please complete this form for Quaker City Alumnae (QCA) to know your request for an Omega Omega Service. Before clicking submit, please print a copy for your records (press "Control P").
Today's Date
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Month
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Day
Year
Date
Name of Soror submitting form
First Name
Last Name
Date of Initiation
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Month
-
Day
Year
Date
Name at time of Initiation
Chapter of Initiation
Current Chapter
Previous Chapter(s)
National, Regional and/or Local offices/positions held (if applicable)
Assisting Soror (Please provide full name, contact number and current chapter affiliation, if applicable)
Eulogist (Please provide full name, contact number and current chapter affiliation, if applicable) --- *Eulogy no more than 10 minutes*
Please list no more than six (6) Chosen Sorors below, along with a phone number and current chapter affiliation, if applicable
Soror to place the violet (Please provide full name, contact number and current chapter affiliation, if applicable)
Torch Bearers (2) - Please provide full name, contact number and current chapter affiliation, if applicable
*Optional - Please list no more than 2 Sorors to make remarks (2 min.). Please provide full name, contact number and current chapter affiliation, if applicable
*Optional - Choose a song much loved: (Solo/Choir)
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Family Contact
Name
First Name
Last Name
Phone Number
Please enter a valid phone number.
Email
example@example.com
Relation
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Church/Venue Information
Name of Church/Venue
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
Please enter a valid phone number.
Name of Church/Venue Official
First Name
Last Name
Email
example@example.com
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Completed by Chapter hosting the service
Presiding Officer
Chaplain
Violet (Please indicate who is providing the violets and date confirmed)
Delta Prayer Recorded (Please provide date confirmed and who confirmed)
Pillow or Floral Arrangement (Choose 1 and indicate who providing - e.g., pillow provided by host chapter, floral arrangement provided by family, etc.)
Robes (Please indicate the number provided and date confirmed)
Ceremony Rehearsal (Please provide date confirmed)
Confirm venue location (Please provide date and who confirmed)
Confirm time of service (Please provide date and who confirmed)
Candles (Please indicate date confirmed and by whom)
Submit
Should be Empty: