Delegate Credential Form



Instructions: Instructions: This form should be completed by each chapter, colony, and alumni club to verify the election or appointment of the delegate and alternate delegate. This form must be submitted to the International Headquarters by June 1, 2008. No delegate or alternate delegate may be officially recognized at the Convocation unless a Credentials Form has been duly signed by the officers of the chapter, colony, or alumni club and filed in advance of the Convocation. Failure to submit a Credentials form will be treated as an absence which may result in a fine being levied against the chapter or colony in question.

All fields must be completely and accurately filled in to be processed.

Chapter Delegate Information
(This form is to certify the following brother(s) has/have been selected as the official delegate and alternate delegate to the Convocation for said chapter, colony, or alumni club, date and place of which is given.)
Chapter/Colony/Alumni Club: 
Delegate Name: 
Graduation Year: 
Current Office/Position: 
 
Alternate Delegate Name: 
Graduation Year: 
Current Office/Position: 


Selection Criteria:
(Select one)
The above delegate and alternate were elected at a meeting held on:
The above delegate and alternate were appointed as provided in the local bylaws by,

(Name of appointer)   on (Date)  


Authorized Officer Consent
Sage/President Name: 
Phone Number: 
Email Address: 
 
Fourth Counselor/Secretary Name: 
Phone Number: 
Email Address: 


Note To Undergraduate Chapters and Colonies
Each Chapter in good standing shall be entitled to representation at the Convocation by one delegate and one alternate, exclusive of any Grand Chapter Officer or Past Grand Officer. These representatives must be undergraduate members of the Chapter; and elected or appointed as prescribed in the local chapter bylaws. Only the one chapter or colony delegate will receive lodging benefits associated with Convocation. The Alternate Chapter Delegate and Alumni Club Delegates Are Responsible For Their Own Expenses!

Registration Form and Fee Must Also Be Submitted