Deadline: Friday December 30, 2016 8 Pm (Eastern Time)

DALE W. DOERR ACHIEVEMENT AWARD PROGRAM (December Report)

Deadline: Friday December 30, 2016 – 8 pm (Eastern time)

Instructions

Fill out and email the completed report (Item #18) to the following contacts:

AAP Administrator: [email protected] Your Regional Correspondent (contact info available on National Website, www.phideltachi.org) Your Chapter Advisor

Save a copy of this form for the chapter files. You may need to refer to this form at a later time. It may be useful to have a copy available when completing forms in the future. If you have questions about this report, please contact the Grand Vice President for Student Affairs at [email protected] or call (800) PDC-1883.

Report Contents

18. New Initiates (1 point)

Chapter Information Chapter Name: Brother Filling out Report: E-mail Address:

ITEM #18: New Initiates (1 point)

This report is used to help reconcile the Chapter’s Roster with Reports of New Initiates received since August. New initiates are to be reported to the National Office within 72 hours after initiation, and payment of the Initiation Fees should accompany that report. Credit for this item is assigned by reviewing the records of the National Office. Graduate and Honorary Brothers (as authorized by the Executive Council) should sign the Chapter registry, receive a Chapter registry number, and be reported to the National Office as well.

All initiates have been reported to the National Office (Note: Even though you have sent in all initiation forms, please record all new initiates for the past semester) Some Brothers are not on the National Roster (Please send in initiation forms for each Brother not reported. Initiation forms can be found at the national website, www.phideltachi.org.) No Initiation took place this semester. Do not list Spring initiates.

Fall Semester

Phi Delta Chi Achievement Award Program (GC Version) 1 December Report Revised August 2016 Initiation Date: Please list your new Initiates in Registry Number Order Name Registry # Name Registry #

Phi Delta Chi Achievement Award Program (GC Version) 2 December Report Revised August 2016 Looking Ahead: In January you will be asked to nominate your Advisor for Outstanding Chapter Advisor.

Phi Delta Chi Achievement Award Program (GC Version) 3 December Report Revised August 2016