Bertholf Award Application Form
Please complete the application completely before submitting to this form. Deadline to submit an application is October 31st, 2025. Please contact the National Office via email with any questions.
Chapter Information
Please provide the following information about your chapter.
Name of Person Submitting Application
First Name
Last Name
Email Address for submission confirmation and for any questions.
example@example.com
What is your Chapter Greek Name?
What is the name of your institution? Please no abbreviations.
In which District/Region is your Chapter located?
Please upload your completed Bertholf Award application as a PDF file with your Chapter and School Name in the title.
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