Faculty Advisor Intention Form
I, _____________________________________________________________________________________
Name/Title
with the _______________________________________________________________________________
Name of College/University
will serve in the capacity of Faculty Advisor for the new Student Chapter of the Educators Rising Collegiate program
within this University.
I agree to be available to the student members of this Chapter and will do my best to guide/mentor them and be
involved in their chapter activities.
On behalf of this Student Chapter, I have requested a ‘Letter of Support’ from the University’s Administration (Dean
or Dean of Student Affairs) if mandated by University bylaws.
I understand that as a Faculty Advisor of the said Student Chapter, I am required to set a good example to the
students by being a current member of the PDK Internationals Educators Rising Collegiate program.
We currently have the required minimum of 2 students who have affiliated with the National network
(names provided below) and paid their annual student member fees for the current school year.
1. __________________________________________________
2. __________________________________________________
Have a plan of action for upcoming meetings and election of officers.
We hereby list the following goals and objectives of our chapter.
1.
2.
3.
SIGNATURE: DATE:
Completed Faculty Advisor Intention Form and Letter of Support (if mandatory) can be emailed to edrisingcollegiate@pdkintl.org or mailed to
EdRising Collegiate, PO Box 13090, Arlington, VA 22219 (Fax: 812-339-0018).
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