Directions: List ALL individuals that started your intake process below and place the appropriate check next to the categories pertaining to them. Attach additional sheets if necessary. but and to not in in to the to Self Intake intake Intake but NPHC Chapter was by List of Interested Membership Process initiated Started Accepted Individuals Submitted Membership Application participate Selected Process was approved Participate Participate Removed (Fall/Winter) Opportunity Completed Attended informational Student Membership Intake Membership Membership Removed requirements Started Our signatures below certify that no names were omitted from this list and no false information was presented. Chapter President Name Signature Date Membership Intake Coordinator Name Signature Date Advisor Supervising Intake Name Signature Date
Directions: List ALL individuals that started your intake process below and place the appropriate check next to the categories pertaining to them. Attach additional sheets if necessary. List of Interested Individuals Submitted Membership Application Selected to Participate in Membership Intake Accepted Opportunity to Participate in Membership intake Started Membership Intake Process but Removed Self Started Membership Intake Process but Removed by Chapter Attended NPHC informational (Fall/Winter) Student was not approved to participate Completed the requirements and was initiated Our signatures below certify that no names were omitted from this list and no false information was presented. Chapter President Name Signature Date Membership Intake Coordinator Name Signature Date Advisor Supervising Intake Name Signature Date