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Initiationverficiationforms16 Southeastern Louisiana University

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INITIATION VERIFICATION
This form is due 10 days prior to initiation to the Office for Student Engagement. A copy will then be placed in your
box stating if the candidates have been approved.
No candidate may be initiated without the Assistant Director for Student Engagement approval.
Organization Name:
We hereby declare that on
(date)
the following individuals are aspirants for member-
ship into our organization and will be duly initiated pending the decision of our regional/national
representative(s).
Total Number of Candidates
Signature - Chapter President
Signature - Chapter Advisor
Candidate’s
Name
(Must Be Typed)
Signature:
I wish to waive my rights granted to me
by the Family Educational Rights and Privacy Act of
1974 and permit Southeastern Louisiana University to
release academic information about me to my
Sorority/Fraternity. I understand that this waiver will be
in effect until I notify the Office for Student Engagement
that I no longer wish to allow such information to be
released.
Student
ID
Number
(Must Be
Typed)
CUM
GPA
(Office Use)
Hrs.
Enr.
(Office
Use)
Approval
(Office Use)
Date Received:
Signature - Assistant Director:
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Completed 6 April 2020

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