Educational Advancement Foundation
New Initiate HBCU Fund Summary
Da
te:___________________________________ Chapter Name: ____________________________________
Region: _________________________________ D
ate of Initiation:__________________________________
Select one:
Number of candidates
Undergraduate HBCU Fund
Spr
ing Initiates $35.00 x ___________ = $ ______________________
Fall Initiates $70.00 x ___________ = $ ______________________
(must pay two years)
Graduate HBCU Fund
Spring/Fall Initiates $70.00 x ___________ = $ ______________________
(
must pay two years)
Check #:____________________________ Amount: $______________________________________
____________________________________________ _______________________________________________
Name of Membership Chairman/Graduate Advisor Signature of Membership Chairman/Graduate Advisor
_________
___________________________________
Email Address
Instructions:
1. Check figure above before submitting this form to the Corporate Office.
2. Make check for the New Initiate HBCU Fund Summary payable to the Educational Advancement Foundation.
*
3. Submit the New Initiate HBCU Fund Summary, MIP Remittance Summary and a copy of the MIP Form with
sep
arate checks to cover fees due.
**
4. Retain a copy of the forms for chapter files.
*
Checks made payable
to
Alpha Kappa Alpha Sorority, Incorporated CANNOT be deposited to the Educational
A
dvancement Foundation.
**
You may submit fees in one envelope; however, the New Initiate HBCU Fund Summary REQUIRES a separate check
from initiation fees.
A delay in receipt of this form will cause a delay in receiving new initiate packets.
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signature
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