Chapter Orientation Program Application
Instructions: This completed application must be submitted to the International Office by a chapter requesting authorization to conduct an orientation program. A copy will be sent to the Regional Office. Approval or denial of this application shall be determined by the Regional Director and communicated in writing to the chapter via the International Office Disposition of a Chapter request to Conduct an Orientation Program. Chapters are reminded that all forms of hazing in conjunction with membership initiation activities, to include but not limited to, physical fitness training and mental hazing is strictly prohibited. False information contained on this application will result in disqualification.
Chapter Information
Chapter Name
*
Chapter President
*
First Name
Last Name
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
-
Area Code
Phone Number
Graduate Advisor (If undergraduate Chapter)
First Name
Last Name
Graduate Advisor Email
example@example.com
Proposed Membership Orientation and Leadership Development Program Start Date:
*
-
Month
-
Day
Year
Date
Proposed Membership Orientation and Leadership Development Program End Date:
*
-
Month
-
Day
Year
Date
Who will be the Orientation Coordinator (DP) for the line?
*
First Name
Last Name
Who will be the Assistant Orientation Coordinator (ADP) for the line?
First Name
Last Name
List of Candidate(s)
*
Rows
Candidate's Full Name
Classification
GPA
1) Candidate
2) Candidate
3) Candidate
4) Candidate
5) Candidate
6) Candidate
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Statement of Hazing Form
Instructions: This completed form must be submitted by a chapter to the International Office and Regional Office to request authorization to conduct an orientation program. This statement serves notice that Groove Phi Groove, S.F.I. prohibits all forms of hazing in conjunction with membership initiation activities, including but not limited to, physical fitness training or exercising, and/or mental hazing, and that any individual and/or chapter that violates this organizational policy on hazing is subject to suspension or revocation of membership and/or chapter privileges. Members who are financially active with both the International Office and the chapter may sign this form, while only those members who sign this form are authorized to participate in the orientation program. All orientation programs must be approved by the Regional Director or the International Office prior to starting orientation programs.
Active Member Signatures
*
Rows
Full Name
Today's Date
1) Chapter Member
2)
Chapter Member
3)
Chapter Member
4)
Chapter Member
5)
Chapter Member
6)
Chapter Member
7) Chapter Member
8) Chapter Member
9) Chapter Member
10) Chapter Member
11) Chapter Member
12) Chapter Member
13) Chapter Member
14) Chapter Member
15)
Chapter Member
Chapter President Signature
*
Graduate Advisor Signature (Undergraduate Chapters Only)
All who have signed this form attest to the truthfulness and correctness of the information entered on this document.
Submit
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