DST Heritage and Archives Memorabilia Action Plan
This action plan will help you prepare for your transition regarding your treasured Delta collectibles. It helps safeguard sensitive Delta information and protects the integrity of the organization. The National Heritage & Archives manual defines collectibles as confidential material and other Delta memorabilia (e.g., Ritual, Constitution & Bylaws, Doctrine, Protocol & Traditions Manual, pins, jackets, T-shirts, etc.).
DISPOSAL OF PARAPHERNALIA
Members/sorors should designate a Delta to receive all Delta collectibles, including any confidential materials (e.g., Ritual, Constitution & Bylaws, Doctrine, Protocol & Traditions Manual, pins, jackets, T-shirts, etc.) that the organization wants to safeguard and ensure that they do not fall into the wrong hands. If they do not, they can elect to have them transferred to the chapter archives or shipped to the National Headquarters Archivist. Charitable giving is a universal practice and should be applauded. However, exceptions need to be made when it comes to Delta apparel. We all want to give someone the “shirt off our backs,” but when it comes to recycling old paraphernalia, we advise that it be given to someone in the organization or destroyed. It should never be donated, as it could end up in a thrift store or vintage shop. - Delta Sigma Theta, Incorporated, Heritage & Archives Resource Manual-Revised September 2020
Member Profile
I. MEMBER INFORMATION
First Name
*
Middle
Last
*
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth
Marital Status
Single
Married
Divorced
Widowed
Address
Home Address
Street Address Line 2
City
State
Zip
Telephone #s (Please check preferred contact number)
Home
Cell
Home
Please enter a valid phone number.
Cell
Please enter a valid phone number.
Email Address
*
Confirmation Email
example@example.com
II. EMERGENCY CONTACT INFORMATION
Family Members (i.e. Spouse, Parents, Siblings, etc.)
Name
First Name
Last Name
Relationship
Address
Address
Street Address Line 2
City
State
Zip
Phone
Name
First Name
Last Name
Relationship
Address
Address
Street Address Line 2
City
State
Zip
Phone
Special Sorors (i.e. most familiar with your Delta professional and personal life.)
Name
First Name
Last Name
Address
Address
Street Address Line 2
City
State
Zip
Phone
Name
First Name
Last Name
Address
Address
Street Address Line 2
City
State
Zip
Phone
III. DELTA INFORMATION
Name at Initiation
Membership #
Chapter of Initiation
Place of Initiation
Year of Initiation
Current Affiliation
Chapter Offices and/or committee service:
Regional/National offices held and/or committee service:
IV. OMEGA OMEGA SERVICE INFORMATION
I hearby request:
My Omega Omega service be held as follows:
Same day as funeral/memorial
Different Day
Special soror for the Eulogy
Phone
Other Participants (Including names and contact information from sorors other than chapter members
:
#1 Name
Phone
#2 Name
Phone
#3 Name
Phone
#4 Name
Phone
Special Song (s) #1
Special Song (s) #2
V. DISPOSITION OF DELTA EFFECTS INFORMATION:
If you have designated a Delta to receive your Delta collectibles (including confidential materials such as your Ritual, Constitution and Bylaws, Doctrine, Protocol and Traditions Manual, pins, paraphernalia, etc.), provide contact information:
Name
Email
Confirmation Email
example@example.com
Phone
If you have not designated a Delta to receive your Delta collectibles (including confidential materials such as your Ritual, Constitution and Bylaws, Doctrine, Protocol and Traditions Manual, pins, paraphernalia, etc.), would you agree to have these items transferred to the chapter archives?
Yes
No
VI. EDUCATION:
College/University
Degree Earned
College/University
Degree Earned
Other
Degree/Certificate Earned
VII. PROFESSIONAL INFORMATION:
Career(s):
Career(s) cont.:
Community Involvement/Organizations:
Community Involvement/Organizations cont.:
Honors/Awards
Honors/Awards cont.:
Public:
Public cont.:
Professional
Professional cont.
Briefly summarize anything else you would like others to know about you
Last Updated
*
/
Month
/
Day
Year
Date
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