04 NPHC/MGC Verification of Initiation Form

First Name of Person Completing This Form

Last Name

E-Mail Address

Organization

List the date your organization's national intake procedures started and ended.

Anticipated Date, Time, and Location of planned new member presentation.

Please upload the list of candidates that were initiated into your chapter.

Use the following template on this link: https://docs.google.com/spreadsheets/d/1H2-60A5ooP42--Hi3GcCPooUC1Zs7VWC/edit?usp=sharing&ouid=110261686139452198282&rtpof=true&sd=true