Tidewater Alumnae Chapter of Zeta Tau Alpha 2016 – 2017 ...

Tidewater Alumnae Chapter of Zeta Tau Alpha 2016 – 2017 Membership Form Name ________________________ Preferred Name _____________ Maiden Name ___________ Current Address _______________________________________________________________________ City/State/Zip _________________________________________________________________________ Email ______________________ Home Phone ____________________ Cell Phone ________________ Preferred Method of Contact: _____ Email ____ US Mail _____ Telephone Call _____ Text College ______________________________ Chapter __________________ Member ID ____________ Birthday (Month/Day) _________________________ Initiation Date (Month/Year) ________________ Occupation and Employer _______________________________________________________________ Family Information Spouse/Fiancé/Significant Other’s Name ___________________________________________________ Children’s Names & Ages ________________________________________________________________ Membership Fee Information Please check one from the following:

Qualifications

$Dues Amount$

○ Graduated within the past 3 years

$25.00

○ Standard Membership

$45.00

Please make your checks payable to Tidewater Alumnae Chapter of ZTA and return with your completed Membership Form to Chandy Atkins (Vice President, Membership) at any event!

Please tell us more about your interests on the reverse side! Website: tidewater.zetataualpha.org Email: [email protected] Facebook: Tidewater Alumnae Chapter of Zeta Tau Alpha

ZTA Information Alumnae ZTA Leadership Position & Year Position Held:

Alumnae ZTA Awards (Ex: Alumnae Zeta Lady, Certificate of Merit, White Violet, Honor Ring)

Any additional Alumnae ZTA Accomplishments: _____________________________________________________________________________________ Interests Please tell us more about yourself and your interests, so that we might better tailor our activities. Would you be interested in including any of the following in our future activity planning: ○ Sisters Only

○ Significant Others

○ Family/Kids

○ Pets

Service/Community Interests: _____________________________________________________________________________________ _____________________________________________________________________________________ Personal Interests and Passions: _____________________________________________________________________________________ _____________________________________________________________________________________ If you “Hear the Call of Zeta” and are interested in leadership, please let us know your interests: ○ Member Outreach

○ Newsletter

○ Fundraising

○ Service Projects

○ Public Relations

○ Facebook & Email

○ Photographer

○ Scrapbooking

○ Planning Outings

○ Communication Liaison with Collegiates

Other: _____________________________________________________________________________________ _____________________________________________________________________________________

Thank you for your interest in the Tidewater Alumnae Chapter of Zeta Tau Alpha! For more information, please contact Chandy Atkins, VP of Membership, at [email protected]

Website: tidewater.zetataualpha.org Email: [email protected] Facebook: Tidewater Alumnae Chapter of Zeta Tau Alpha