2017-2018 Delegate Verification Form
Please use this form to submit the list of your chapter delegates for the 2018 Southeastern Regional Conference. Please note that Graduate Chapters are entitled to 1 delegate for every 10 financial members. Undergraduate Chapters are entitled to 1 delegate for every 3 financial members.

A voting member can only be listed in one category (i.e. Delegate OR Life Member). There is no need to list Life Members, unless they are acting as chapter delegate and therefore forfeiting their right to use their Life Member vote.

Email address *
Sigma Gamma Rho Sorority, Inc. ~ Southeastern Region 78th Southeastern Regional Conference ~ April 5-8, 2018 ~ Biloxi, MS
Chapter Name: *
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Chapter Category: *
Chapter Address:
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University Name (Undergraduate Chapters Only):
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Basileus Name: *
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Basileus Email: *
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Basileus Phone Number: *
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Number of Financial Members: *
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Chapter Delegates (please list): *
Your answer
Alternates (please list):
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I certify that I am authorized to submit this form on behalf of the chapter: *
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Name of the Person Submitting this Form: *
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