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Phi Beta Sigma Fraternity, Inc.
Gulf Coast Region

Phi Beta Sigma Fraternity, Inc.
INTAKE TEAM RECOMMENDATION
REGARDING APPLICATION FOR MEMBERSHIP

REGION               CHAPTER
TO BRO., REGIONAL DIRECTOR

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The applications for membership of the following persons were reviewed, the applicants were interviewed, references were checked and their qualifications, character and fitness have been evaluated by the Area Intake Certification Team, in consultation with the Chapter and collegiate Chapter Advisor, and the following t recommendations are hereby made to the Regional Director:

1.    That the following persons be accepted for membership and initiation, pending receipt and acknowledgment in writing by the National Office of payment of the appropriate membership fees and the successful completion of Educational Development and Testing by the Intake Team, as outlined in the Intake Program:

NAME DATE OF BIRTH
1  
2  
3  
4  
5  
6  
7  
8  
9  
10

 DATED:_____________ SIGNED: _____________________________________
                                                          INTAKE TEAM CHAIRMAN

INTAKE TEAM RECOMMENDATION CONTINUED

2.           That the following persons be rejected for membership at this time:

Name Reason
1
2
3
4
5

DATED:________________  SIGNED: ___________________________________
                                                                INTAKE TEAM CHAIRMAN

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cc: National Office

Attn:       Director of Membership Services 
                      Chapter President
                      Collegiate Chapter Advisor

PBS-7F  (9/94)


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