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Phi Beta Sigma Fraternity, Inc.
Gulf Coast Region

Phi Beta Sigma Fraternity. Inc.
 APPOINTMENT OF INTAKE CHAIRMAN
/ TEAM

by Regional Director

 TO: CHAPTER / REGION:

 

         Attn: .Chapter President

 P. 0. Box
College/University
Street
Apt/Suite
City
State
Zip Code

PLEASE BE ADVISED THAT THE FOLLOWING BROTHERS WILL SERVE ON YOUR AREA INTAKE CERTIFICATION TEAM (7 maximum):

1) INTAKE CHAIRMAN

Bro.
Street  
City
State  
Zip Code
(Day) Phone
(Eve) Phone
Fax:
Call before faxing? 

2) TEAM MEMBER

Bro.
Tel:
Street  
City
State  
Zip Code

3) TEAM MEMBER

Bro.
Tel:
Street  
City
State  
Zip Code

4) TEAM MEMBER

Bro.
Tel:
Street  
City
State  
Zip Code

5) TEAM MEMBER

Bro.
Tel:
Street  
City
State  
Zip Code

6) TEAM MEMBER

Bro.
Tel:
Street  
City
State  
Zip Code

7) TEAM MEMBER

Bro.
Tel:
Street  
City
State  
Zip Code

THE COLLEGIATE CHAPTER ADVISOR WILL SERVE AS A TEAM MEMBER AND MUST BE PRESENT AT ALL INTAKE ACTIVITIES OF THE COLLEGIATE CHAPTER, i.e.

THE INFORMATIONAL MEETING, INTERVIEWS, EDUCATIONAL DEVELOPMENT & TESTING AND INITIATION.

 THE AREA CERTIFICATION TEAM WILL ADMINISTER AND CONDUCT ALL INTAKE ACTIVITIES AND MAKE ITS EVALUATION AND RECOMMENDATION TO THE REGIONAL DIRECTOR, including:

(a)            that the Chapter be permitted to conduct an Intake Program, including an Informational Meeting, according to a Proposed Intake Schedule

(b)            that the Chapter be permitted to conduct Interviews of the applicants, pursuant to the List and credentials as submitted;

(c)            that the List of candidates as interviewed and submitted be approved as new members and initiated, pending successful completion of Educational Development and Testing pursuant to the Intake Program.

SIGNED:  ___________________________
Street  
City
State  
Zip Code
(Day) Phone
(Eve) Phone
Fax:
Call before faxing? 

cc:            National Office,
                Attn:      Director of Membership Services
                Regional Secretary
                Area Intake Chairman
                Team Members

PBS-1D (9/94)


Copyright Life Art 1999-2002
Last revised: April 13, 2004