Volunteer application
Delta Kappa Epsilon International Fraternity Sigma Xi Chapter Founded, 2012 New Member Education Application: Beta Class- Spring 2014 Personal Information Name Street Address City, Zip Code Home Phone Cell Phone E-Mail Address High School Attended Academic Status at SJC Major/Minor/Concentration Birth Date
Availability During which hours are you available for Pledge Education Assignments? ___ Weekday mornings (8am-Common Hour)
___ Weekend mornings (8am-Noon)
___ Weekday afternoons (Common Hour- 6pm)
___ Weekend afternoons (Noon- 6pm)
___ Weekday evenings (6pm-Midnight)
___ Weekend evenings (6pm- Midnight)
Are you committed to being out 3-4 times per week for New Member Education Events? ___Yes ___ No If “No,” please describe any reason you may have against such a commitment______________________________ _____________________________________________________________________________________________ ___________________________________________________________________________________________ What form of Transportation will you be taking to New Member Education Events? ___Yourself ___Parent ___ Other If you drive yourself, please describe your car’s year, make, and model__________________________________
Interests Tell us in which areas of Delta Kappa Epsilon you are interested in: ___ New Member Education (ex: History of International, Chapter, Brothers, etc…) ___ Charity Events (ex: Participation in Safe Halloween Bash, community outreach, Anderson Center for Autism) ___ Social Events (ex: Mixers, time with brothers, relaxed hang outs, game nights) ___ Fundraising Events (ex: Flapjack Fundraiser’s, Various sales around St. Joseph’s College) ___ Book Keeping and Financial Stability (ex: Treasurer work, continuous fundraising planning, budgeting plans) ___ Organization of Group Information (ex: Organizing minutes, Alumni Newsletters, Lion Trophy Application) ___ Athletic Events (ex: Basketball games, Volleyball, Ultimate Frisbee, etc…) ___ Networking Opportunity (ex: Yale Club in NYC, Prominent Alumni Relations, DEKENetworking Events) ___Student Activities Involvement (ex: SGA, Club Involvement, CAB, Campus Advisory Council, Greek Council) ___Academics (ex: Honor Society opportunity, peer assistance with courses, first-hand career path experience)
Special Skills or Qualifications Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including talents, hobbies or sports that would benefit the Sigma Xi Chapter of Delta Kappa Epsilon as an organization (Attach any additional documents you find necessary, continue writing on a separate document if need be).
Previous Club/Organization/Volunteer Experience Summarize your previous experiences, both on and off St. Joseph’s College campus.
Person to Notify in Case of Emergency Name Street Address City, ZIP Code Home Phone Work Phone E-Mail Address
Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a Potential New Member, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I reserve the right to drop the new member education program of Delta Kappa Epsilon, Sigma Xi Chapter by notification to the New Member Educator and Office Student Life, just as they reserve the right to drop me within reason they seem fit using the same protocol. Name (printed) Signature Date
Our Policy It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in participating in the new member education process with us. Please sign up for your formal interview in the Office of Student Life (N-308) for either Friday th th (February 7 - Shea Conference Room, 9AM-5PM) or Saturday (February 8 - Boardroom, 9AM-5PM). Shirt, tie, slacks, and shoes are required.
Availability During which hours are you available for Pledge Education Assignments? ___ Weekday mornings (8am-Common Hour)
___ Weekend mornings (8am-Noon)
___ Weekday afternoons (Common Hour- 6pm)
___ Weekend afternoons (Noon- 6pm)
___ Weekday evenings (6pm-Midnight)
___ Weekend evenings (6pm- Midnight)
Are you committed to being out 3-4 times per week for New Member Education Events? ___Yes ___ No If “No,” please describe any reason you may have against such a commitment______________________________ _____________________________________________________________________________________________ ___________________________________________________________________________________________ What form of Transportation will you be taking to New Member Education Events? ___Yourself ___Parent ___ Other If you drive yourself, please describe your car’s year, make, and model__________________________________
Interests Tell us in which areas of Delta Kappa Epsilon you are interested in: ___ New Member Education (ex: History of International, Chapter, Brothers, etc…) ___ Charity Events (ex: Participation in Safe Halloween Bash, community outreach, Anderson Center for Autism) ___ Social Events (ex: Mixers, time with brothers, relaxed hang outs, game nights) ___ Fundraising Events (ex: Flapjack Fundraiser’s, Various sales around St. Joseph’s College) ___ Book Keeping and Financial Stability (ex: Treasurer work, continuous fundraising planning, budgeting plans) ___ Organization of Group Information (ex: Organizing minutes, Alumni Newsletters, Lion Trophy Application) ___ Athletic Events (ex: Basketball games, Volleyball, Ultimate Frisbee, etc…) ___ Networking Opportunity (ex: Yale Club in NYC, Prominent Alumni Relations, DEKENetworking Events) ___Student Activities Involvement (ex: SGA, Club Involvement, CAB, Campus Advisory Council, Greek Council) ___Academics (ex: Honor Society opportunity, peer assistance with courses, first-hand career path experience)
Special Skills or Qualifications Summarize special skills and qualifications you have acquired from employment, previous volunteer work, or through other activities, including talents, hobbies or sports that would benefit the Sigma Xi Chapter of Delta Kappa Epsilon as an organization (Attach any additional documents you find necessary, continue writing on a separate document if need be).
Previous Club/Organization/Volunteer Experience Summarize your previous experiences, both on and off St. Joseph’s College campus.
Person to Notify in Case of Emergency Name Street Address City, ZIP Code Home Phone Work Phone E-Mail Address
Agreement and Signature By submitting this application, I affirm that the facts set forth in it are true and complete. I understand that if I am accepted as a Potential New Member, any false statements, omissions, or other misrepresentations made by me on this application may result in my immediate dismissal. I reserve the right to drop the new member education program of Delta Kappa Epsilon, Sigma Xi Chapter by notification to the New Member Educator and Office Student Life, just as they reserve the right to drop me within reason they seem fit using the same protocol. Name (printed) Signature Date
Our Policy It is the policy of this organization to provide equal opportunities without regard to race, color, religion, national origin, gender, sexual preference, age, or disability. Thank you for completing this application form and for your interest in participating in the new member education process with us. Please sign up for your formal interview in the Office of Student Life (N-308) for either Friday th th (February 7 - Shea Conference Room, 9AM-5PM) or Saturday (February 8 - Boardroom, 9AM-5PM). Shirt, tie, slacks, and shoes are required.
