Delegate Form

to be filled out by chapter's secretary or regent only

Due 21 Days before Business Meeting (Jan 28th)

Select your Collegiate or Graduate Chapter below
1st Delegate *
1st Delegate
2nd Delegate *
2nd Delegate
Alternate Delegate 1
Alternate Delegate 1
Alternate Delegate 2
Alternate Delegate 2
Submitter Info
Only the Secretary or Regent may submit this Delegate Form on behalf of a chapter.
Name of Submitter *
Name of Submitter
If you are the Secretary or Regent of your respective Chapter, type your name below.
What title do you hold in your Chapter? *
Date *
Please enter today's date.
Confirmation *