Intake & New Member Education Request This form is used to provide notify the Center for Fraternity and Sorority Development that the organization would like to conduct intake, recruitment, and new member education activities. Requests should be submitted at least 10 business days prior to the start of activities to allow sufficient time for review and approval. Groups should NOT begin any new member activities before approval to move forward has been provided, in writing, from CFSD. Step 1 of 2 50% For which semester are you submitting this form?*FallSpringYear*2020202120222023Organizational InformationOrganization*Alpha Chi OmegaAlpha Delta PhiAlpha Epsilon PhiAlpha Epsilon PiAlpha Kappa LambdaAlpha Omicron PiAlpha PhiAlpha Phi AlphaAlpha Sigma PhiDelta Epsilon PsiDelta Phi LambdaDelta Phi OmegaBeta Theta PiDelta Tau DeltaDelta ZetaGamma Phi BetaKappa Alpha ThetaKappa Phi GammaKappa Phi LambdaLambda Alpha UpsilonLambda Phi EpsilonLambda Theta AlphaLambda Theta PhiLambda Upsilon LambdaMu Sigma UpsilonPhi Beta SigmaPhi Delta ThetaPhi Gamma Delta (FIJI)Phi Sigma RhoPi Beta PhiPi Delta PsiPi Kappa PhiSigma Alpha MuSigma ChiSigma Gamma RhoSigma Lambda UpsilonSigma Phi EpsilonTau Kappa EpsilonZeta Phi BetaChapter/Colony Name*Council of Affiliation*Interfraternity Council (IFC)Intercultural Greek Council (IGC)National Pan-Hellenic Council, Inc. (NPHC) / Divine 9Panhellenic Council (UCPC)Primary Chapter Email* Primary Advisor Email* Officer & Advisor InformationPresident*Person who is the chief executive officer of the chapter.FirstLastPhonePresident Email* New Member Educator(s)*Person(s) responsible for coordinating the chapter's new member education/intake program.FirstLastEmailPhone Chapter Advisor Name*Who supports your chapter in an advisory role from the national/alumni standpoint. First Last Chapter Advisor Email* Chapter Advisor PhoneRecruitment & Intake InformationNotice of New Member Recruitment/Intake/C.O.B.*Please indicate if the chapter plan to accept new members this semester.Yes. We WILL conduct intake this semester.No. We WILL NOT conduct intake this semester.Anti-Hazing AgreementPlease read the following and sign below. It is the responsibility of the chapter officers to educate their members regarding anti-hazing and the hazing policies and laws. Hazing is not only against inter/national organizations’ and University policies, but is a violation of Connecticut state law. Connecticut Hazing Law (Sec. 53-23a. Hazing) For purposes of this section: 1. "Hazing" means any action which recklessly or intentionally endangers the health or safety of a person for the purpose of initiation, admission into or affiliation with, or as a condition for continued membership in a student organization. The term shall include, but not be limited to: Requiring indecent exposure of the body Requiring any activity that would subject the person to extreme mental stress, such as sleep deprivation or extended isolation from social contact; Confinement of the person to unreasonably small, unventilated, unsanitary or unlighted areas; Any assault upon the person; or Requiring the ingestion of any substance or any other physical activity which could adversely affect the health or safety of the individual. The term shall not include an action sponsored by an institution of higher education which requires any athletic practice, conditioning, or competition or curricular activity. 2. "Student organization" means a fraternity, sorority or any other organization organized or operating at an institution of higher education. No student organization or member of a student organization shall engage in hazing any member or person pledged to be a member of the organization. The implied or express consent of the victim shall not be a defense in any action brought under this section. A student organization which violates subsection (b) of this section (1) shall be subject to a fine of not more than one thousand five hundred dollars and (2) shall forfeit for a period of not less than one year all of the rights and privileges of being an organization organized or operating at an institution of higher education. A member of a student organization who violates subsection (b) of this section shall be subject to a fine of not more than one thousand dollars. This section shall not in any manner limit or exclude prosecution or punishment for any crime or any civil remedy. (P.A. 88-328, S. 1-5.) University of Connecticut Hazing Statement “Hazing, defined as an act which endangers the mental or physical health or safety of a student, or which destroys or removes public or private property for the purpose of initiation, admission into, affiliation with, or as a condition for continued membership in a group or organization. The express or implied consent of the victim will not be a defense. Apathy or acquiescence in the presence of hazing are not neutral acts; they are violations of this rule.” - Responsibilities of Community Life: The Student Code (Part III.B.6.) Sanctions at the University of Connecticut: “In cases of individual violators, appropriate student conduct action may be imposed as outlined in Responsibilities of Community Life: The Student Code. In cases where organizations have been involved in such conduct, loss of privileges, suspension of registration, or removal of recognition may be imposed. The Student Code is the University’s process for dealing with complaints within the community. Individuals and/or organizations may also be subject to the actions of local, state, or federal police agencies.” We certify that: - We have read and understand the Connecticut State Hazing Law. - We have read and understand the University Hazing Statement. - We have read and understand our inter/national hazing policy. - We have and will continue to educate our chapter members on these laws and policies. - All new/intake group members will receive a copy of New Member Rights & Responsibilities. - All activities that our new/intake group members participate in comply fully with these laws and policies. - Our chapter new member/intake program will run no longer than 8 weeks and activities will end during or before the 12th week of the semester. - All new/intake group members who complete the approved process will be fully initiated using ONLY the inter/national ceremony. - We understand that failure of our organization to uphold this policy, in whole or in part, will result in the referral of the organization and individuals involved to the student organization conduct process, and/or the appropriate state and local authorities. By checking the box below...* I hereby certify that I have read the Anti-Hazing Agreement and understand it in its entirety. New Member Education/Intake Program DetailsMinimum GPA required to join your organization*Please distinguish if this GPA is set by your national organization or by your chapter.Estimated cost to join your organization.*This is the total cost a student would need to pay the semester in which they join your organization and participate in any intake/new member education.What is covered by the above cost? National Dues Chapter/Local Dues New Member Fee Membership Badge/Pin Paraphernalia (t-shirt, jacket, etc.) Insurance Educational Program Registration (Convention, etc.) New Member Education/Intake process will begin on:*Please provide a tentative date for when you anticipate that your chapter will start the official membership program. Date Format: MM slash DD slash YYYY New Member Education/Intake process will conclude on:*Please provide a tentative date for when you anticipate that anyone who joins your organization this semester will be initiated/cross. Date Format: MM slash DD slash YYYY We plan to publicly present our new members on (if applicable): Date Format: MM slash DD slash YYYY New Member Education Program*Please upload your national new ember education/intake program. Drop files here or Inake/New Member Education Calendar*Please upload a copy of your weekly schedule for individuals that will participate in your intake/new member education activities. Be sure to include date/time, location, purpose, and all other details in the calendar. See the sample Calendar if you have questions. Be sure to also upload confirmations for reservations that you may have in relation to your process.Does your new member calendar contain any off-campus activities?*YesNoRequest to Conduct Off-Campus Activities*If your organization would like to take associates/new members off-campus for activities during the new member education process, a request for approval must be submitted. Off-campus new member education activities are considered the exception rather than the rule and therefore, very few activities will be approved. Please attach a letter from a national/regional representative that indicates the need for such activity to take place off-campus. The number of off-campus activities is determined by Expectations of Excellence privilege level: A ( up to 3 activities), B (up to 2 activities), C (1 activity), and F (no off-campus activities allowed). Drop files here or NameThis field is for validation purposes and should be left unchanged.