Petition for Surrender of Chapter Charter

Petition for Surrender of Charter of a Chapter of the Aleph Zadik Aleph or B'nai B'rith Girls
Chapter Information
Form

Petition for Surrender
Chapter Name*
BBYO Community*
Chapter City*
Chapter State*
Chapter Zip Code(s)*
Contact Information
Godol/Nsiah Name

First NameLast Name
Godol/N'siah Email
Mazkir/Mazkirah Name

First NameLast Name
Mazkir/Mazkirah Email
Chapter Advisor

First NameLast Name
Advisor Email
Regional Staff*

First NameLast Name
Regional Staff Email*
When was your chapter originally chartered?*

MonthDayYear
Surrender of Charter Request
Why are you requesting to surrender your charter?*
Please share further details on your reasoning for requesting this change.*
Where should we reassign existing members?

Thank You

We appreciate you taking the time to fill out this form. We will review your surrender of charter request and be in touch if we have any additional questions.

If there's anything else you need, please reach out to us at azabbg@bbyo.org.
Should be Empty:

Petition for Surrender of Charter of a Chapter of the Aleph Zadik Aleph or B'nai B'rith Girls