Educator Intake Application

Educator Intake Application
Membership Application

This report should be submitted each semester by the perspective educator. Chapters who do not submit their application by the due date will not be able to participate in intake.
Name*

First NameLast Name
OPC Email Address *
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
What semester did you cross? **
What year did you cross?*
Are you an undergraduate student or alumnae? *
If you are an undergraduate student, what semester are you in?*
Undergraduate Sisters Only. Please put N/A if this does not pertain to you.
What year did you graduate?*
Only for Graudate Sisters. If this question does not pertain to you please put N/A
Have you paid dues to be active? If not, why?*
Please include your plan on how you will be paying dues if not already paid.
If you are an undergraduate sister, what chapter positions do you currently hold?*
Only undergraduate sisters. Please put N/A if this does not pertain to you.
What chapter are you applying to be Educator for ?*
If you are applying independently please put N/A.
How many PNMs are projected to pledge this semester? *
Have you previously been Educator or Assistant Educator? *
If you have been educator before, please state when, for what chapter, and how many women crossed? *
If this does not pertain to you please put N/A
If you were educator before and the class went ghost, please explain.*
If this does not pertain to you please put N/A
What are the intake dates set by the school?*
(ie: date the PNM must cross by, date they must begin the process, etc..) * start date and end date should be included. Please specify if applications can be given out before the intake date.
When is the chapter's OWOW Week? *
When are the dates of the soirée's? *
Do you plan on having an Assistant Educator? *
If yes, what is the name of the Assistant Educator? *
What is the Assistant Educator's phone number? *
If this does not pertain to you, please put N/A
What is the Assistant Educator's email? *
If this does not pertain to you, please put N/A.
Is the Assistant Educator a Graduate or Undergraduate sister? *
If the assistant educator is an undergraduate, please provide the year this sister is in. *
Example: Junior, Senior
If the Assistant Educator is a Graduate, please provide the semester and year this sister crossed.*
If this does not pertain to you, please put N/A.
How many LYNX/ interests does the chapter have? *
Please list all the sisters at your chapter (active/inactive/academic probation) and what year they are and what semester they crossed. Please include why they are inactive (by choice, grades, etc.) *
Please provide at least three (3) locations you can use for session that are provided by Alumnae and days of the week the location is available *
If you have no place as of yet please put N/A.
Please provide at least three (3) locations you can use for session that are provided by undergraduate sisters and days of the week the location is available *
If you have no place as of yet please put N/A.
Do you have any pre-scheduled vacations that will occur during the NME process? If so, please explain and include dates.*
Do not leave blank. Please put no if you have no vacations scheduled.
Please provide the dates of any school breaks that take place this semester.*
Have you or the chapter you will educate had any process violations? If so, please explain.*
If this does not pertain to you, please put N/A.
Prior to being nominated for the Educator position, what involvement have you had with the chapter. Include events attended, recruitment, etc? *
Do not leave blank.
Please provide you're personal and professional schedule. *
Do not leave Blank.
Please ensure that a letter of recommendation from the chapter, as to why you would make a great educator, is submitted via email to the National Director of Membership at membership@omegaphichi.org within 48 hours of submitting this application.
Is there anything else the NBOD should consider when reviewing your application?*
Should be Empty:

Educator Intake Application

Membership Application

Please ensure that a letter of recommendation from the chapter, as to why you would make a great educator, is submitted via email to the National Director of Membership at membership@omegaphichi.org within 48 hours of submitting this application.