Graduate MIP Manual (April 2019)
Section VIII MIP Health Check
Chapters should use this form to determine their eligibility to request authorization to conduct a
Membership Intake Process. This form is sent to the Regional Director with the Request for
Authorization.
Graduate Chapter Name: ___________________________________________________
Region: __________________________Date of Last MIP: _____________________
Chapter Address: _________________________________________________________________
City, State ZIP Code
1. Did the chapter have representation at the following conferences/meetings for the last two (2) years
immediately preceding the date of this application? (Circle Yes or No)
Boule Yes No
Regional Conference Yes No
Leadership Seminar Yes No
Cluster Yes No
2. Did the chapter submit their most recent Program Reports by the due date of December 31? (Circle Yes or
No)
Program Report (online) Yes No
Pro
gram Report (Other) Yes No
3. Did the chapter submit their End of the Year Reports – Due December 31 no later than February 1? (Circle
Yes or No)
Statement of Financial Reports Yes No
St
andards End of Year Reporting Yes No
Membership End of the Year Report Yes No
Connection End of the Year Reporting Form Yes No
4. What rating did the chapter receive on the most recent Standards Evaluation? Standards Evaluation Rating
(circle rating received) 1 2 3
5. Does the chapter have 100% membership status with our Educational Advancement Foundation?
(Circle Yes or No)
Yes No
6. Did the chapter submit Roster of Officers and Committee Chairmen – Due Date Requested by Corporate
Office (Circle Yes or No) Yes No
7. Did the chapter submit the bylaws to the Regional Director?
(Circle Yes or No) Yes No
8. Does the chapter have members who are eligible to be sponsors? If the answer is no to question 8, do not
proceed any further. (Circle Yes or No) Yes No
9. Chapter has reviewed the Risk Management video message from Supreme Basileus?
(Circle Yes or No) Yes No
10. Chapter has reviewed the chapter’s retention rate as it relates to the most recent Graduate MIP process
(within the past 5 years)? (Circle Yes or No or Not Applicable)Yes No Not Applicable
Year Graduate MIP Process was conducted: ______ Number of Candidates: ______ Retention rate: ___
Membership retention
rate will be requested by the Regional Director from Corporate Office. If you were able to answer
yes to all of the above questions, you may submit a Request for Authorization to Conduct Graduate MIP Form to the
Regional Director.
