Applicant Pre-Rush Instruction Checklist

Undergraduate Membership Experience Manual – November 2022

Thank you for considering membership with Alpha Kappa Alpha Sorority, Inc.

You must have a

minimum C+ semester and cumulative average, creditably completed full-time hours (i.e., earned

12+ hours towards degree) the semester/quarter immediately preceding Rush and must be currently

enrolled 12+ hours at the college or university affiliated with the chapter. Please review the checklist

below to ensure you have all items listed prior to the official Rush. Failure to attend Rush or submit

required documentation will eliminate you from membership consideration.

ALL FORMS MUST BE TYPED AND REQUIRE YOUR LEGAL NAME

(Handwritten forms may not be accepted or could delay processing)



Official Transcript – printed within current semester/quarter

Order an official transcript and have it sent directly to the Graduate Advisor prior to

Rush. If you request an official electronic transcript, the Graduate Advisor must receive

the email instructions to download the electronic transcript directly from the Registrar

Office or Parchment Company. Note: You must have all grade or schedule changes on

the official transcript prior to Rush.



Enrollment Verification – printed after the start of current semester/quarter

Request a letter from the Registrar Office or National Student Clearinghouse – must

reflect enrollment hours and full-time status.



Undergraduate Legacy Form – Legacy Applicants only

Applicant, family member soror and chapter officers must complete and sign the

designated areas of the form.

Chapter officer signatures are not required on the form if family

member soror is a General Member or deceased.



Undergraduate Membership Interest Application – Legal names are required

when completing and signing the form

Thoroughly review each section of the form and ensure you answered all questions

and obtained the necessary signatures and dates where required.



Evidence of Community and Campus Involvement (ECCI) Form

Community or campus involvement activity must be

within the last two (2)

years and the supervisor must sign it. (A maximum of three [3] forms are

permitted.)



Two Letters of Recommendation – typed (stationery preferred)

Must

include a date, writer’s full name, address, official handwritten

signature and applicant’s name in the body of the letter. Suggested letter writers

are teachers, administrators, professors, employers, or graduate members of Alpha

Kappa Alpha Sorority, Inc.

(Undergraduate members cannot write reference letters for

prospective candidates.)



Interest Letter – business format and should not exceed one page

Letter must contain a date, legal name, current address, email address, and signature. Your

letter should express the purpose of Alpha Kappa Alpha Sorority, Inc.

, in your own words,

and your community involvement. Also, highlight any talents that you can contribute to

ensure Alpha Kappa Alpha maintains its status as a premier Greek-lettered organization for

college-trained women, and why the chapter should consider you for membership.

Alpha Kappa Alpha Sorority, Incorporated

Undergraduate Membership Interest Application

Undergraduate Membership Experience Manual – November 2022 Page 1 of 6

Chapter Information

Chapter of interest: _____________________

ollege or University: _____________________________ City and State: _______________

Personal Information – LEGAL NAME REQUIRED

rst name:

_______________________ Middle Initial: ____ Last name: ___________________

Other names used (if none list NA): _____________________________

Permanent Address:

___________________________ City and State: _____________________

Zip: ________ Country: __________ Email address:______________________________

Phone (include area code):

_____________________ Alternate Phone: ____________________

College or university’s Address:

________________________ City and State: __________________ ZIP: ______

College or university’s classification (select one): Freshman ___ Sophomore ___ Junior ___ Senior ___

Degree(s) previously earned – If none, list NA in this section

ype: _____________________ College/University: _________________ Date conferred: ________

Emergency Contact Information – REQUIRED

Name: ________________________ Relationship: _____________ Phone: ___________

Alternate Phone: ______________________ Email: ______________________________

Affirmation Statement

In this Undergraduate Membership Interest Application (the “Application”) Alpha Kappa Alpha

Sorority, Incorporated

is sometimes referred to as “AKA” or “Alpha Kappa Alpha Sorority”.

1. Have you received and read the General Information for the Collegian brochure? Yes ___ No ___

2. Have you been a member of a sorority which belongs to the National Pan-Hellenic Council (NPHC)

or National Panhellenic Conference (NPC)? Yes ___ No ___

If you answered Yes, please list the sorority/sororities and your initiation date(s) below.

Sorority: __________________________ Initiation date: _____________

Applicant initials: _______

Alpha Kappa Alpha Sorority, Incorporated

Undergraduate Membership Interest Application

Undergraduate Membership Experience Manual – November 2022 Page 2 of 6

Affirmation Statement – continued

3. Have you previously applied for membership into, started a membership process, or

ledged with a sorority that belongs to the National Pan-Hellenic Council (NPHC) (includes

Alpha Kappa Alpha Sorority) or National Panhellenic Conference (NPC)?

Yes ___ No ___

If you answered Yes, name the Sorority/Sororities, and explain why you rescinded your application,

withdrew your interest, or discontinued the process with that sorority/sororities.

Sorority: ______________________ Year: _____ College or university: __________________

AKA Chapter: ______________ Year: _____ AKA Chapter: ______________ Year: _____

Explanation: _________________________________________________________

____________________________________________________________________

4. Have you read and do you understand Alpha Kappa Alpha Sorority’s Anti-Hazing Policy? Yes ___ No ___

5. Have you ever participated in or been accused of hazing as it relates to Alpha Kappa Alpha Sorority,

Incorporated

? Yes ___ No ___

If you answered Yes, please explain: ___________________________________________

6. Have you every participated in or been accused of hazing as it relates to any organization?

Yes ___ No ___

If you answered Yes, please explain: ___________________________________________

7. Are

you listed on any websites or social media accounts in a personal or professional manner? (i.e.,

Facebook, Snapchat, Twitter, Instagram, etc.) Yes ___ No ___

If Yes, provide the links or social media platforms and profile name(s):

_____________________________________________________________________

Applicant initials: ______

Alpha Kappa Alpha Sorority, Incorporated

Undergraduate Membership Interest Application

Undergraduate Membership Experience Manual – November 2022 Page 3 of 6

BACKGROUND CHECK

I understand that as part of the Application Process and/or Membership Experience, Alpha Kappa Alpha

Sorority, Incorporated

will conduct a background check on me. I acknowledge I will be responsible for the

cost associated with obtaining a background check on me. I understand that consistent with applicable federal,

state, and local laws, my report may include, but not be limited to, information on convictions and/or pending

prosecutions.

I understand that Alpha Kappa Alpha Sorority, Incorporated

may utilize an outside firm or firms to conduct

the background search and to assist in checking such information. By submitting this Application, I specifically

authorize such an assessment by information services and outside entities of Alpha Kappa Alpha Sorority,

Incorporated

’

s choice.

I hereby release and hold harmless Alpha Kappa Alpha Sorority, Incorporated

from any and all liability with

respect to receipt of such information and acknowledge that Alpha Kappa Alpha Sorority, Incorporated

relying on third-party information and, therefore, release Alpha Kappa Alpha Sorority, Incorporated

, its

affiliates, regions, chapters, and their respective agents, officers, and employees from any and all liability

arising out of errors or omissions.

I understand it is the responsibility of all those applying to correct and update negative or conflicting

information found on their Background Check and that there is no appeal process.

I also understand that I may withhold my permission to a background check by not submitting this

Application. In such a case, no investigation will be done and my application for membership in Alpha Kappa

Alpha Sorority will not be further processed.

ANTI-HAZING POLICY

Alpha Kappa Alpha Sorority, Incorporated

has a strict policy against hazing. Hazing is defined as an act or

series of acts that may include, but are not limited to: attending unauthorized rush meetings or sessions;

removing garments; eating or drinking anything given to you as a requirement for membership in Alpha Kappa

Alpha Sorority, Incorporated

; being subjected to any form of verbal, physical or mental harassment,

intimidation or disgrace; “underground hazing,” “financial hazing,” “pre-pledging” or “post-initiation

pledging.” Alpha Kappa Alpha Sorority, Incorporated

requires that those interested in membership in Alpha

Kappa Alpha Sorority support Alpha Kappa Alpha Sorority’s policy against hazing, harassment and/or

humiliation of any kind.

I acknowledge that I have read, understand and will abide by the policy of Alpha Kappa Alpha Sorority,

Incorporated

which forbids hazing.

I (and my parent(s) or guardian(s) for candidates under the age of twenty-one (21)) further agree to indemnify

and/or hold harmless Alpha Kappa Alpha Sorority, Incorporated

, its affiliates, regions, chapters, and their

respective agents, officers, and employees for any and all acts of hazing in which I participate and which results

or may result in harm to me or anyone else from this day forward in perpetuity.

AGREEMENT TO ARBITRATE

I understand and agree that any grievances and all disputes regarding the Application Process and the

Membership Experience should be promptly referred to the Regional Director for investigation and resolution.

I understand and agree that all grievances and disputes of an applicant or candidate that cannot be resolved

within Alpha Kappa Alpha Sorority, Incorporated

will be referred to arbitration including claims for personal

injury, claims for damages to property, or disputes of any nature that cannot be resolved within Alpha Kappa

Alpha Sorority, Incorporated

, including those arising from the Application Process and/or the Membership

Experience.

Applicant initials: ______

Alpha Kappa Alpha Sorority, Incorporated

Undergraduate Membership Interest Application

Undergraduate Membership Experience Manual – November 2022 Page 4 of 6

I specifically agree to follow all of the rules, regulations, and guidelines relating to the Application Process and

the Membership Experience. I further agree to promptly report in writing to the Regional Director any

infractions and violations of the rules, regulations, and guidelines relating to the Application Process and as

applicable the Membership Experience. I acknowledge that Alpha Kappa Alpha Sorority, Incorporated

is an

international organization with entities located throughout the United States of America and abroad. I

recognize by signing this Application I agree to the foregoing matters. I understand that this agreement has

an effect on interstate commerce and is subject to the Federal Arbitration Act. I and my heirs and assigns, and

Alpha Kappa Alpha Sorority, Incorporated

, its officers, employees, agents, affiliates, chapters and members,

agree that any and all disputes, conflicts, claims, and/or causes of action of any kind whatsoever, including

but not limited to: contract claims, personal injury claims, bodily injury claims, injury to character claims, and

property damage claims arising out of or relating in any manner whatsoever to the Application, the Application

Process, the Membership Experience and to membership in Alpha Kappa Alpha Sorority, Incorporated

shall

be subject to and resolved by compulsory and binding arbitration under the Federal Arbitration Act, 9 U.S.C.

Section 1, et seq., and the commercial rules of the American Arbitration Association or such other dispute

resolution provider selected by Alpha Kappa Alpha Sorority in its sole discretion.

NON-DISCLOSURE AGREEMENT

This non-disclosure agreement is made between Alpha Kappa Alpha Sorority, Incorporated

and the

undersigned candidate.

I am

desirous of joining and becoming a member of Alpha Kappa Alpha Sorority and enjoying all rights,

benefits and privileges of said membership including all intangible value derived from the Application Process

and as applicable the Membership Experience, and I further represent that I have the full right, power and

authority to enter into this Agreement.

B. I ac

knowledge that as part of the Application Process and/or the Membership Experience, I may obtain

access to certain information concerning the Alpha Kappa Alpha Sorority, including, but not limited to, the

Alpha Kappa Alpha Sorority's rituals, policies, operational and/or local practices and information about Alph

Kappa Alpha Sorority members, officers or directors (“Representatives”) which is confidential and of

substantial value to Alpha Kappa Alpha Sorority (“Confidential Information”). I acknowledge Alpha Kappa

Alpha Sorority would be harmed if such Confidential Information were disclosed to a third party.

C. I

n exchange for the value and benefits made available to me through the Application Process and, if

applicable the Membership Experience and other good and valuable consideration the receipt of which is

hereby acknowledged, I agree that I will not use in any way for my own account or the account of any third

party, nor disclose to any third party any such Confidential Information without the express written consent

of Alpha Kappa Alpha Sorority’s National Executive Director. I further agree to protect the Confidential

Information of Alpha Kappa Alpha Sorority against any unauthorized use, publication and disclosure as I

would protect my own confidential information. My undertakings in this Paragraph C apply to all Confidential

Information disclosed to me by Alpha Kappa Alpha Sorority or any Representatives thereof or that I learn as

part of the Application Process and the Membership Experience, regardless of the way or form in which it is

communicated or disclosed, including orally, electronically, and/or otherwise in writing. Confidential

Information does not include any information which a) is or in the future comes into the public domain (unless

as a result of the breach of this Agreement); or b) is already known to me and which was not subject to any

obligation of confidence before it was disclosed to me by Alpha Kappa Alpha Sorority, or (c) I lawfully acquired

from any third parties having no obligation of confidentiality. Nothing in this Agreement will prevent me from

making any disclosure of the Confidential Information required by law. My undertakings in this non-

disclosure agreement will continue in force indefinitely.

Applicant initials: ______

Alpha Kappa Alpha Sorority, Incorporated

Undergraduate Membership Interest Application

Undergraduate Membership Experience Manual – November 2022 Page 5 of 6

D. Except for the limited right to possess and use Confidential Information in furtherance of Alpha Kappa

lpha Sorority and the Application Process and the Membership Experience, I shall not acquire or claim any

personal right, title and interest in or to any Confidential Information, and any subsequent disclosure of

Confidential Information, shall not be construed as granting me any license, express or implied, title or interest

in or to any Confidential Information.

E. In

the event that I breach any provision of this non-disclosure agreement, I acknowledge th

at a

emedy at law would be inadequate to sufficiently protect Alpha Kappa Alpha Sorority’s interest in

safeguarding its Confidential Information and, further, that Alpha Kappa Alpha Sorority shall be entitled to

an injunction restraining any further breaches, in addition to any other remedy provided by law. In addition,

I agree to pay any and all reasonable costs and expenses, including attorneys’ fees, incurred by Alpha Kapp

Alpha Sorority in enforcing this non-disclosure agreement. Upon Alpha Kappa Alpha Sorority’s request, I

will return to Alpha Kappa Alpha Sorority all copies and records which contain or reflect Confidential

Information and upon request from the Alpha Kappa Alpha Sorority, I will not retain any copies or records

bearing any Confidential Information.

F. A

ny waiver or delay by the Alpha Kappa Alpha Sorority with regard to enforcement of any breach of

any provision of this non-disclosure agreement shall not operate as or be deemed a waiver of any subsequent

breach, nor shall any single or partial exercise of any right, power or privilege hereunder preclude any other

or further exercise thereof. This non-disclosure agreement shall not be construed as creating any joint venture,

partnership, employment or other joint relationship between the parties. If any term or provision of this non-

disclosure agreement is held or deemed to be invalid or unenforceable, such term or provision shall be

ineffective to the extent of such invalidity or unenforceability only, and the remaining terms and provisions of

this non-disclosure agreement shall continue in full force and effect. This non-disclosure agreement shall not

be amended, modified or canceled except by mutual agreement of the parties in writing. This non-disclosure

agreement shall be construed by and governed in accordance with the laws of the State of Illinois and any

disputes between the parties regarding this non-disclosure agreement shall be adjudicated in an appropriate

court located in the State of Illinois. Alpha Kappa Alpha Sorority and the undersigned candidate hereby

represent and warrant to each other that it is not a party to any other agreement in conflict with this non-

disclosure agreement.

CONFIRMATION

By signing this Undergraduate Membership Interest Application which includes the Affirmation Statement,

Background Check, Anti-Hazing Policy, Agreement to Arbitrate, Non-Disclosure Agreement and Evidence of

Community/Campus Involvement, you verify that you are voluntarily signing this Undergraduate

Membership Interest Application, have carefully read, understand and agree to all of the terms and conditions

set forth in this Undergraduate Membership Interest Application and that all of the information you have

provided is true and correct. This Undergraduate Membership Interest Application constitutes the entire

agreement between you and Alpha Kappa Alpha Sorority with respect to the subject matter contemplated

herein. You understand that at any time, Alpha Kappa Alpha Sorority, Incorporated

can rescind any rights

or privileges to a candidate based on the submission of false information or documents. As used in this

Application, the term “Application Process” means the process of completing, signing and submitting this

Application to Alpha Kappa Alpha Sorority and Alpha Kappa Alpha Sorority’s review and acceptance or

rejection of the Application. As used in this Application, the term “Membership Experience” means the

initiation process that begins only if favorably accepted.

Candidate’s signature

: ______________________ Date of birth: ____________ Date: _________

The candidate is sometimes referred to in this Application as “I”, “me”, “my” or “you” or “your”

Parent or Legal guardian’s name

: ____________________________________

ignature:

______________________________ Date: ___________

A parent or legal guardian signature is not required if you are under 21 and married – select Yes if you

married  Yes