Acknowledgment Page and Submissions ... - Theta Xi Fraternity
Acknowledgment Page and Submissions ... - Theta Xi Fraternity
Acknowledgment Page and Submissions ... - Theta Xi Fraternity
Create successful ePaper yourself
Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.
2010 – 2011 Annual Report to the <strong>Fraternity</strong><br />
<strong>Submissions</strong> Checklist <strong>and</strong> <strong>Acknowledgment</strong><br />
Date: ____________________<br />
Chapter/Colony Name: ________________________________________________________________<br />
Completed/Submitted By: ______________________________________ Roll #: ________________<br />
Title: _______________________________________________________________________________<br />
Email Address: ________________________________ Phone: _______________________________<br />
These pages are to be completed <strong>and</strong> used as<br />
cover pages for the Annual Report submissions.<br />
If you have any questions about completing any portion of the Annual Report to the <strong>Fraternity</strong><br />
(including the online submission), contact Director of Operations<br />
Ron Trucks at ron@thetaxi.org or at 314-993-6294 x103.
Acknowledgement Statement (Required)<br />
We certify that all information contained in this Annual Report to the <strong>Fraternity</strong> is true <strong>and</strong> accurately<br />
depicts our chapter/colony’s operations <strong>and</strong> accomplishments this school year. We also certify that, to<br />
the best of our knowledge <strong>and</strong> without purpose of evasion, this chapter/colony is in full compliance<br />
with:<br />
• <strong>Theta</strong> <strong>Xi</strong> Risk Management Policy (see The Quest, pages 115-116 in the 2010, 25 th edition)<br />
addressing alcohol <strong>and</strong> drugs; prohibition of hazing; sexual abuse; fighting <strong>and</strong> violent behavior;<br />
fire health <strong>and</strong> safety; <strong>and</strong> ongoing risk management education<br />
• M<strong>and</strong>atory use of Alpha Nine Core Program (see The Quest, pages 8-10 in the 2010, 25 th<br />
edition) for the foundation of our chapter’s colony’s membership education program<br />
• <strong>Theta</strong> <strong>Xi</strong>’s Statement of Position on Expansion (By-Law 29.5 of the Constitution <strong>and</strong> By-Laws of<br />
<strong>Theta</strong> <strong>Xi</strong> <strong>Fraternity</strong>) to support colonization efforts by members of the North American<br />
Interfraternity Conference to provide a fraternity experience for qualified undergraduates on<br />
this campus<br />
Signatures are required for brothers holding office as of March 1, 2011 for submission to be accepted.<br />
We, the undersigned officers of the _______________________ Chapter/Colony of <strong>Theta</strong> <strong>Xi</strong> <strong>Fraternity</strong><br />
as of March 1, 2011, affirm the accuracy of this Annual Report to the <strong>Fraternity</strong> on the _________ day<br />
of _________, 2011. (ex. 21 st day of April 2011)<br />
Officer Printed Name Signature<br />
President _________________________ _____________________________<br />
Vice President _________________________ _____________________________<br />
Treasurer _________________________ _____________________________<br />
Secretary _________________________ _____________________________<br />
Membership Educator _________________________ _____________________________<br />
Scholarship Chairman _________________________ _____________________________
SUBMISSION CHECKLIST<br />
St<strong>and</strong>ard<br />
Submission<br />
Number<br />
Required For…<br />
Chapter/<br />
Colony<br />
Ritual RT1 X X 6<br />
ATM Question # Comments<br />
Included?<br />
(indicate<br />
with an “X”)<br />
Recruitment RC1 X X 8<br />
Membership<br />
Education<br />
Scholarship<br />
ME1 optional optional 11<br />
ME2 optional optional 13<br />
SC-Fall 10 X X 1<br />
SC-Spring 10,<br />
Winter 10,<br />
Spring 11<br />
SC1<br />
optional optional 1<br />
Label on<br />
By-laws<br />
Label on<br />
By-laws<br />
SC2 optional optional 3<br />
2<br />
SC3 optional optional 4<br />
Finance<br />
Chapter Ops<br />
Campus &<br />
Community<br />
Relations<br />
FN1 X X 2<br />
FN2 optional optional 12<br />
CO1<br />
CC1-A, CC1-B,<br />
etc.<br />
Label on<br />
By-laws<br />
Label on<br />
By-laws<br />
optional optional 1<br />
CC2 X X 5 & 6<br />
CC3 optional X 9<br />
7<br />
CC4 optional X 14<br />
Housing HS1 If housed If housed 2<br />
Alumni<br />
Relations<br />
Additional<br />
<strong>Submissions</strong><br />
AL1 X X 6<br />
AS1 optional optional 1<br />
Optional for chapters living<br />
in university owned housing<br />
If Spring Semester Finals Week starts…<br />
Deadlines<br />
<strong>Submissions</strong> must be postmarked by…<br />
BEFORE May 21, 2011 Saturday, April 23, 2011<br />
AFTER May 21, 2011 Saturday, May 21, 2011
When finished…<br />
1. Copy all materials <strong>and</strong> keep a copy in your records<br />
2. Mail all documents (requesting delivery confirmation) by the Postal Service to:<br />
<strong>Theta</strong> <strong>Xi</strong> <strong>Fraternity</strong><br />
Accreditation Committee<br />
PO Box 411134<br />
St. Louis, MO 63141<br />
Or ship (via UPS, FedEx, etc.) to<br />
<strong>Theta</strong> <strong>Xi</strong> <strong>Fraternity</strong><br />
Accreditation Committee<br />
745 Craig Road, Suite 222<br />
St. Louis, MO 63141<br />
3. Email Amy Collins (amy@thetaxi.org) to notify her that you have sent the submission. Make<br />
sure to include the tracking number, if applicable.
Change language