CHAPTER REQUEST TO CONDUCT INTERVIEWS

REGION               CHAPTER
TO BRO., REGIONAL DIRECTOR

REQUEST IS HEREBY MADE FOR APPROVAL TO CONDUCT INTERVIEWS OF THE APPLICANTS FOR MEMBERSHIP, WHOSE APPLICATIONS, PERSONAL REFERENCE STATEMENTS, APPLICATION FEES AND ACADEMIC CREDENTIALS ARE SUBMITTED HEREWITH INTERVIEWS ARE TO BE CONDUCTED BY THE INTAKE TEAM APPOINTED BY THE REGIONAL DIRECTOR AND WILL BE HELD AT THE TIME AND PLACE SET FORTH IN THE INTAKE SCHEDULE, APPROVED BY THE REGIONAL DIRECTOR ON .

 The proposed applicants to be interviewed are as follows:

INTERVIEWS MAY BE SCHEDULED, BUT MAY ONLY BE HELD AFTER WRITTEN APPROVAL RECEIVED FROM THE REGIONAL DIRECTOR AS TO EACH APPLICANT.

(THE FOLLOWING TO BE COMPLETED BY THE REGIONAL DIRECTOR AND

RETURNED TO THE CHAPTER, FORWARDING A COPY TO THE NATIONAL OFFICE AND KEEPING A COPY FOR HIS RECORDS):

APPROVED TO CONDUCT INTERVIEWS OF ONLY THOSE APPLICANTS INDICATED AS APPROVED ABOVE.

(AFTER INTERVIEWS ARE CONDUCTED, APPROVAL BY THE REGIONAL DIRECTOR OF THE APPLICATIONS FOR MEMBERSHIP IS REQUIRED, UPON SUBMISSION BY THE CHAPTER OF COMPLETED INTERVIEW SUMMARY EVALUATION FORMS AND PROOF OF PAYMENT OF MEMBERSHIP FEES TO THE NATIONAL OFFICE. APPROVAL MUST BE RECEIVED BY THE CHAPTER IN WRITING, BEFORE EDUCATIONAL DEVELOPMENT AND TESTING SESSIONS AND INITIATION CAN BE HELD.)

REGIONAL DIRECTOR  ___________________________________       DATE __________

PBS-7E (9/94)