Kappa Kappa Psi

Northeast District Outstanding Sponsor Award

Nomination Form

 

Instructions: Complete the following application and submit to the Member-at-Large by February 28^th, 2008.

Nominee Information:

 

Name: ______________________________________________________________

 

Address: ____________________________________________________________

 

               ____________________________________________________________

                                (City)                                                (State)              (Zip code)

 

Position held with the School (e.g. Director of Bands) ______________________________

 

Nominee’s Fraternity Status (e.g. Honorary) __________________________________

 

Number of years serving as Chapter Sponsor __________________________________

 

Person Completing this Application:

 

Name: ______________________________________________________________

 

Address: ____________________________________________________________

 

               ____________________________________________________________

                                (City)                                                (State)              (Zip code)

 

Phone: ___________________________      E-mail:__________________________________

 

Chapter: _________________________       School: __________________________________

 

Please attach answers to these questions on an additional sheet:

1.      What makes your Chapter Sponsor unique?

2.      How does your sponsor support the band, Kappa Kappa Psi, and their relationship?

 

Return Completed Form to:

Northeast District Member-at-Large

Jackie Blinke

82 E. Padonia Rd Apt #203

Timonium, MD 21093