CHI ALPHA SIGMA
NATIONAL COLLEGE ATHLETE HONOR SOCIETY
(A Not-For-Profit Organization)
CHARTER MEMBERSHIP APPLICATION
Date of Application *
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Name of College/University *
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Collegiate Athletic Association (NCAA or NAIA) *
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NCAA Division Level (If Applicable) *
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Primary Athletic Conference Affiliation *
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Athletics Mailing Address *
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City, State, Zip Code *
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Director of Athletics *
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Designated Chapter Advisor *
(Coach, Academic Services Director, or Athletic Director)
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Chapter Advisor Telephone # *
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Chapter Advisor Email *
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Director of Academic Services *
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Fax #
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Submit
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