Alumna Initiation Application

The alumnae initiate is aware of this honor.*

Yes
No

Is the candidate a mother of a provisional chapter member?*

Yes
No

Provisional Chapter: Term used to refer to a re-established or newly-established chapter that has not yet been installed.

Provisional Chapter Name:*

Provisional Chapter: Term used to refer to a re-established or newly-established chapter that has not yet been installed.

Name*

First Middle Last Maiden Name

Preferred First Name*

Preferred First Name

Home Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Date of birth*

Did the candidate attended college?*

Yes
No

What school did she attend?*

What year did she graduate?*

Has the candidate ever been a new member of a NPC or NPHC sorority?*

Yes
No

Which group was she a member of?*

What year did she pledge?*

Was the candidate initiated?*

Yes
No

Candidate's Occupation

Candidate's Employer

Is the candidate a member of a professional organization(s)?

Yes
No

Please list organizations:

Is the candidate involved in community activities?

Yes
No

Please list activities:

Candidate's hobbies/special interests:

Honors/awards the candidate has received:

Children (include the number of children and their current age(s) if applicable):

Does the candidate have a daughter who is a collegiate or colony member of Phi Mu?*

Yes
No

Please list the daughter's name, collegiate Phi Mu chapter and year in school:*

Does the candidate have a sister who is a collegiate member of Phi Mu?*

Yes
No

Please list the sister's name, collegiate Phi Mu chapter and year in school:*

List other Phi Mu relatives including names and relationships (if applicable):

Mother's Full Name and Greek Affiliation (if applicable):

Father's Full Name and Greek Affiliation (if applicable):

Is the candidate a house director for Phi Mu?*

Yes
No

For which chapter is she a house director?*

What contribution do you believe this alumna initiate would make to the national fraternity, local alumnae chapter and assistance with a local collegiate chapter?*

Additional Comments

Candidate Initiation Information

Desired Phi Mu Chapter of Initiation:*

Date of Potential Initiation:*

Alumnae Chapter the candidate wishes to join once initiated:*

PHI MU SPONSOR RECOMMENDATION FORM If this form is being completed for a colony mother alumna initiation, the information below should list personal information for the sponsor, not a Phi. A sponsor for a colony mother can be the resident chapter consultant, a member of the advisory board or another Phi Mu alumna.

Name*

First Middle Last Maiden Name

Name*

Preferred First Name

Phone*

Email*

Date of Birth*

Chapter of Initiation:*

Year Initiated:*

Sponsor's Alumnae Chapter:*

Current Alumnae Chapter Role:

Is the sponsor a Forever Faithful Member?*

Yes
No

Is the sponsor a Phi Mu Foundation Member?*

Yes
No

Is the sponsor present/past National or Area Officer for Phi Mu?*

Yes
No

please list all National and Area Officer position titles held:*

Alumna Initiate Education

Will the sponsor conduct the Fraternity education for the alumna initiate if approved? If this is a Phi colony mother Initiation, the answer should be "no" and the Phi's contact information below.*

Yes
No

If not, please complete the information below about the person who will be.

Name*

First Middle Last Maiden Name

Name*

Preferred First Name

Phone*

Email*

Date of Birth*

Phi Mu Chapter of Initiation:*

Year Initiated*

Alumnae Chapter:*

Current Alumnae Chapter Role (member office held, etc.) if applicable:

Is she a member of Forever Faithful?*

Yes
No

Is she a member of Phi Mu Foundation?*

Yes
No

Is she a present/past National or Area Officer for Phi Mu?*

Yes
No

please list all National and Area Officer position titles held:

Candidate's statement :*

Max. file size: 300 MB.

Candidate's statement should include why she would like to be apart of Phi Mu and how she will be active if chosen for membership. **Please Note** One page maximum, anything more than one page will not be considered.

Upload Photo:

Max. file size: 300 MB.

Phone

This field is for validation purposes and should be left unchanged.