LEGACY/GLA New Membership Induction Application

Groove Phi Groove Social Fellowship, Incorporated

LEGACY/GLA New Membership Induction Application
Instructions:

This completed application must be submitted by an individual applying for membership in Groove Phi Groove Social Fellowship, Incorporated. The International policy prohibits all forms of hazing in conjunction with membership initiation activities, to include but not limited to, physical fitness training exercise, and mental hazing. The Chapter must submit this completed application to the Regional Office. All payments must be made by money order, check, PayPal, or charge card (i.e. MasterCard or VISA only). Do not mail cash. Membership application fees are not tax-deductible. False information contained on this application will result in disqualification.
Candidate's Name

First NameLast Name
Candidate's E-mail
Candidate's Address

Street Address Line 1

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Phone Number

Area CodePhone Number
What is the name of the person sponsoring you for the legacy program, and what is your relationship to the fellowman?
Legacy Candidates are considered to be Sons and Grandsons of Groove.
Chapter conducting the program
Please type in the full name of the Chapter.
Do you have any special health conditions that you believe the chapter should know about? If yes, please describe:
Educational Information: What is your highest level of education?
Degree earned or classification. Please attach an official copy of your college transcript, or a copy of your degree, with your application.
Files to upload below:

Letter of Interest: attach a typed letter (no more than two pages) that explains your interest in becoming a member of Groove Phi Groove, S.F.I.

Two (2) Letters of Recommendation, and

One (1) Official Transcript.

Note: Graduate candidates must submit three (3) letters of recommendation.

All fees are non-refundable
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Indemnity Against Liability Provision:

As a member of Groove Phi Groove Social Fellowship, Inc., I do hereby acknowledge that International policy prohibits all forms of hazing or any other act which may otherwise result in physical bodily harm to any individual engaged in a membership initiation program, and do hereby agree at all times to abide by this International prohibition, and further agree to hold Groove Phi Groove Social Fellowship, Inc. and/or any of its affiliated chapters harmless against any liability whatsoever for any physical and/or mental injury that may be caused by or attributed to my conduct, behavior or actions (i.e., participation) in the initiation of any individual inducted (or trying to become inducted) into the Fellowship.
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Groove Phi Groove Social Fellowship, Incorporated