Ivy Beyond the Wall - Regional Resolution Request Form

Ivy Beyond the Wall - Regional Resolution Request Form
Soror we are so sorry for the loss of your chapter member, and we know this is a difficult time, but we ask that you give at least 72 hours advance notice for your request. Please complete the request form with detailed responses and we will attempt to enter information as you have shared based on space allowed.

If you have any additional questions, please feel free to contact:

Soror Cathy Patton

Regional Rituals Chair

203-927-2325

NARRituals@gmail.com
Chapter: *
Requesting Basileus Name*

First NameLast Name
Email *
example@example.com
Phone Number*

Area CodePhone Number
Name of Ivy Beyond the Wall*

First NameLast Name
Date of Passing*

MonthDayYear
Date
Date of Ivy Beyond the Wall Ceremony*

MonthDayYear
Date
Time of Ivy Beyond the Wall Ceremony*
Initiating chapter and date of initiation*
Chapter in which she is currently a member*
MembershipType*

GraduateUndergraduate
Membership Status*

LifeMemberDiamondPearlGoldenSilvern/a
Offices held while in chapter
Committees served on
Please list any significant personality traits that stood out or made soror memorable to the chapter and her community
Please share any awards received during her time served in Alpha Kappa Alpha
Should be Empty: