Chapter Advisor On-Site Consultation Form


On-site consultation with your Chapter Advisor may be requested for a number of reasons, such as, new chapter formation, chapter re-organization, review of chapter operations or chapter problem solving.

Please submit this form, if you would like an On-Site visit with your Chapter Advisor. Form must be submitted at least 4 weeks prior to the meeting.


Chapter Name: *
(Please spell out the full chapter name)
Name: *
(Person requesting the meeting)
Address: *
City: *
State: *
ZIP Code: *
Phone Number: *
(999-999-9999)
Email Address: *
Chapter Advisor: *
Preferred Meeting Date: *
(mm/dd/yyyy)
Reason for the meeting: *
(Please be as specific as you can)
Your Email: *
Your Name: *

 

 

 

Revised 2-13

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