National Reinstatement of Membership Application

National Reinstatement of Membership Application

Welcome Back, Nubian Queen! Please fill out this form, and we will be in touch with you shortly.
Note: This form is for inducted members of SISTUHS, Incorporated who would like to reactivate membership status, rights, and responsibilities within the organization.

CHAPTER INFORMATION
Into which chapter were you inducted into SISTUHS, Incorporated
What year were you inducted into SISTUHS, Incorporated?
Select your membership type of interest.
If you selected “Chapter Affiliation” above, state your desired chapter for membership reactivation.
When do you plan to start your membership in your new Chapter ?

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate

REFERENCE
Please provide contact information for one (1) active member of SISTUHS, Inc. to be used as a reference.

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com

DOCUMENTATION
Submit proof of FIFTEEN(15) community service documentation. Any proof of service provided will be counted towards official reinstatement, as outlined in Article XII Section 6 of the 2023-2025 National Constitution of SISTUHS, Incorporated.

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Submit Chapter Release Letter from Current Chapter President. SKIP if Non-applicable*

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OPTIONAL: If possible, please provide a copy of your membership card or certificate. These documents will allow for faster verification and application processing.

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Through the submission of this form, I acknowledge and agree to abide by the bylaws of the Chapter into which I am reactivating (if applicable), as well as the National Constitution of SISTUHS, Incorporated.
NATIONAL REINSTATEMENT FEE
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National Reinstatement Fee
$20 Application Processing Fee + 1 Semester of National Dues

$95.00

Total

$0.00

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

PERSONAL INFORMATION