Angelos Spring 2012 : Page 47
Kappa Delta Recommendation on Potential Members FOR CHAPTERS REQUESTING A RECOMMENDATION FROM AN ALUMNA Date Recommendation sent to alumna _______ Date alumna received Recommendation form _____________ ____________ Chapter at ______________ requests a Recommendation for the following potential member. Please return this form by (date) _________, to our chapter contact: __________________________ _________________________________________________________________________________ Address ______________________ City _____________________ State __________ Zip ________ Phone (_____) _________________ Fax (_____) _________________ Email __________________ For the Kappa Delta Chapter at _____________________________________________________ College or University Attach Photo If Available Potential Member Information Name of potential member ____________________________________________________________________________________________ First Street Number Street Number First Street Number City Last State Zip (Nickname or Name Called) City City Last State State Zip Zip Occupation Age Home Address _____________________________________________________________________________________________________ School Address (if known) ___________________________________________________________________________________________ Father’s Name and Address ___________________________________________________________________________________________ _________________________________________________________________________________________________________________ Mother’s Name and Address __________________________________________________________________________________________ First Street Number City Last State Zip Occupation _________________________________________________________________________________________________________________ Will the potential member be able to assume financial obligations? Yes No Does the potential member have a KD relative? Sister Mother Grandmother Other_______________________________ Give name (including maiden) and chapter _______________________________________________________________________________ Does the potential member have connections with other NPC groups? If yes, list affiliation and relationship ___________________________ _________________________________________________________________________________________________________________ This potential member would enjoy talking about these topics during membership recruitment _________________________________ _________________________________________________________________________________________________________________ Academics High School attended ____________________________________________________________________ Year graduated _______________ Name City State Scholastic GPA ___________ Scale ____________ Class rank/Class size __________________ SAT/ACT score _____________________ School attended after High School ___________________________________________________ Major _____________________________ Name City State Scholastic GPA ___________ Scale ____________ Number of credits completed ___________ College class:  Freshman  Sophomore  Junior Senior Scholastic honors ___________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Activities Please list names of organizations (explain type — school, church, community) with the potential member’s participation and leadership in each one. Attach additional information on separate sheet if necessary. _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ Special recognition and honors received _________________________________________________________________________________ _________________________________________________________________________________________________________________ _________________________________________________________________________________________________________________ kappadelta.org Spring 2012 | 47
Publication List
Using a screen reader? Click Here