Alpha Omicron Pi
Member Information Form

 

 

 

Rushee Information

Name of Rushee (first, preferred name, last, age)

Home Address

Home Address

College Classification
Freshman
Sophomore
Junior
Senior

Parents'/Guardians' Names

Parents'/Guardians' Address

Family Information

Does the rushee have an AOII relative? (check one)
Sister
Mother
Grandmother
Other

Give name of AOII relative (including maiden)

Address of AOII relative

Phone including area code (home) (work)

Does the rushee have affiliations with any other NPC groups? If yes list affiliation and relationship
(e.g. Kappa Delta, Mother)

Does the rushee have a special interest in AOII? If yes, please list

Have you talked with the rushee about AOII (check one)
yes
no

Is the rushee able to assume the financial obligations of membership? (check one)
yes
no

Academics

High School Attended (name, city, state)

Scholastic GPA Scale
Class Rank/Class Size of
SAT/ACT Score

School Attended after High School (name, city, state)

Scholastic GPA Scale
Number of Credits Completed

Scholastic Honors

Activities

Please list names of organizations (explain type - school, church community, etc.) and the rushee's participation and leadership in each one.

Special recognition and/or Honors received

Personality/Leadership Qualities

Include information about the rushee's character traits, leadership qualities and personality characteristics using specific examples whenever possible. Indicate the rushee's special interests, talents, and any other information to aid the chapter in getting to know her better and to indicate the contributions she could add to AOII.

AOII Recomendation for Membership

1. I recommend this individual for AOII membership
I know this indivdual personally
I do not know this individual personally, but I am basing my recommendation on information from these sources:
(check all that may apply)
another AOII
Panhellenic Files
High School Faculty
Clergy
peers of the individual
a mutual friend
other (please specify)

2. I do not recommend this individual for AOII membership based on the information received. If further clarification is desired, the Chapter Adviser may contact me.

3. I am unable to commit my opinion on the individual for AOII membership:
Due to limited information received.
After contacting all available sources and receiving no information.

Comments (if any)

Recommendation Given By

Phone (including area code):

Name:

Collegiate Chapter

Chapter Address

Alumnae Chapter

Your Name:

Your Email Address: