2020-2021 APPLICATION FOR MEMBERSHIP

THIS APPLICATION IS A PART OF THE PACKET YOU RECEIVED AFTER YOUR ATTENDANCE AT THE RUSH ACTIVITY. YOU SHALL NOT REDISTRIBUTE THE APPLICATION. TYPE YOUR RESPONSES; APPLICATIONS WITH HANDWRITTEN RESPONSES WILL NOT BE ACCEPTED. COLLEGIATE AND ALUMNAE APPLICANTS ONLY COMPLETE THE SECTIONS THAT APPLY TO YOU.

You must complete this form in its entirety. You must also provide your signature (digital) and date (digital) [Month Day Year].

Any woman of good character is eligible for membership into the Sorority. A FALSE STATEMENT TO ANY QUESTION ON THIS APPLICATION SHALL BE GROUNDS FOR FINDING YOU INELIGIBLE FOR MEMBERSHIP CONSIDERATION, AND MAY RESULT IN A DECISION TO REFER YOU TO LAW ENFORCEMENT OFFICIALS FOR PROSECUTION OR FURTHER INVESTIGATION.

Education: Please list highest degree first

Alumnae applicants must reside in the service area of the chapter. A post office box or business address is not acceptable. Proof of PRIMARY residency must beincluded with the application packet. The Sorority defines residence as the place where a person has her true, fixed, permanent/primary home and principal living establishment and to which, whenever she is away, she has intention of returning.

All forms utilized as proof of primary residency must match the name and address provided on the application.

Proof of PRIMARY residency acceptable forms are listed below (must include two (2) documents from two (2) separate categories below. For example, applicants can not submit 2 types of utility bills.). It is the responsibility of the applicant to ensure ALL requirements ofthe acceptable form of residency verification are included. For example, if the required date is not provided/included on the document, the applicant MAY NOT utilize that as a form of residency verification.

• Driver's License or State Issued Identification Card (Must include the address. The issue date must be at least 90 days prior the date of the RUSH.);
• Official Voter Registration Card, Voter ID Card, or Authenticated Voter Certification Form (Authenticated examples include, but are not limited to, raised seal, official stamp, signature) (The issue date of the card/form must be at least 90 days prior the date of the RUSH.);
• Current military personnel or spouses and those who have become a veteran within the last twp years**
  • May present one of the following:
    • Military Orders (Must indicate permanent change of station (PCS) or temporary change of station (TCS), verify active duty, and provide dates of relocation)
      • If military spouse, name must be listed as 'Accompanying dependent'
    • Letter from Commanding Officer and/or Post Housing Officer on Official Letterhead, with an Original Signature (pen and ink – not digital) and must identify the current Duty Station
• Current/Active Homeowners/Condominium/Renters Insurance Policy. Must provide declaration page and include the effective date of policy. Effective date of policy MUST be at least 90 days prior to the RUSH;
• Deed, Mortgage, or Mortgage Statement;
• Utility Bill– must provide the last three (3) months (one bill for each of the last three (3) months) prior to the date of the RUSH, issued to the applicant. (Examples include gas, electric, sewer, cable or phone bill. Cellular phone bills are not accepted)

NOTE #1:Your PRIMARY residency will be verified based upon the name and address listed on the proof of PRIMARY residency acceptable forms and the application.

NOTE #2: International Chapters only: Consistent with chapter's service area, on file with National Headquarters, and operating agreement

** If granted an interview, MUST present Military ID for admittance

Files must be in .jpg, .pdf, or .png format. Maximum file size 5MB per file uploaded.

Delta prohibits all forms of hazing (any type of physical or emotional abuse). If you submit an application for membership, you will be required to sign a Notice to Applicant/Candidate/Pyramid Regarding Privilege and Responsibilities Statement (“Statement”), which expressly prohibits hazing and provides examples of what constitutes hazing. By signing the Membership Application Signature Form and initialing for the Statement, you agree not to participate in hazing and agree to report any and all acts of hazing of which you are aware. You are responsible for following the letter and spirit of Delta’s “No Hazing” Policy as expressed in the Statement, in other documents you will receive, and in digital and electronic media you will receive. READ and REVIEW carefully all information provided to you.

The contents of this application, including any attachments and information supplied by you to support your application for membership (collectively “application”), are intended only for use by Delta Sigma Theta Sorority, Incorporated (“Delta”) and you. The application may contain information that Delta and/or you deem confidential, privileged, or secret. You understand that during an investigation or inquiry about any alleged violations of Delta’s policies and rules during any stage of the membership process, the application (including confidential, privileged, or secret information) may be disclosed to third parties (e.g., non-Deltas), including, but not limited to, college or university officials, lawyers, and/or law enforcement officials. By signing this application, you authorize such disclosure, and you agree not to disclose Delta’s confidential information.

A FALSE STATEMENT TO ANY QUESTION ON THIS APPLICATION SHALL BE GROUNDS FOR FINDING YOU INELIGIBLE FOR MEMBERSHIP CONSIDERATION, AND MAY RESULT IN A DECISION TO REFER YOU TO LAW ENFORCEMENT OFFICIALS FOR PROSECUTION OR FURTHER INVESTIGATION.

NOTES: You must complete this form in its entirety. The entire application will be deemed incomplete if it is not accompanied by the signed Applicant’s Waiver Form (collegiate applicants only) OR Applicant’s Agreement and Parents/Guardian Acknowledgment Form (collegiate applicants only), Membership Application Signature Form, the application processing fee (via an acceptable method), and the online submission and subsequent passing of the membership intake background screening.

All materials and information submitted becomes the property of Delta Sigma Theta Sorority, Incorporated, therefore, please maintain a copy of this application for your records.

An interview does not guarantee that you will move forward with the membership intake process.  Membership will be extended only to those applicants receiving a MAJORITY VOTE of the chapter and approval of the regional director.

Files must be in .jpg, .pdf, or .png format. Maximum file size 5MB per file uploaded.

The Applicant’s signature on this document will certify, under penalty of perjury, that all statements on the following documents are true and correct to the best of her knowledge:

• Application for Membership
• Notice to Applicant/Candidate/Pyramid Regarding Privilege and Responsibilities
• Whistleblower Policy

You must digitally sign this form. All other fields on this form MUST BE TYPED.

The application packet may contain information that Delta and/or you deem confidential, privileged, or secret. You understand that during an investigation or inquiry about any alleged violations of Delta’s policies and rules during any stage of the membership process, the application (including confidential, privileged, or secret information) may be disclosed to third parties (e.g., non-Deltas), including, but not limited to, college or university officials, lawyers, and/or law enforcement officials. By signing this Membership Intake application signature page and submitting my application packet, I authorize such disclosure, and also agree not to disclose Delta’s confidential information.

I understand the membership intake background screening fees and the application processing fee are NON-REFUNDABLE and that if for any reason and at any time this process is stopped or I decide not to continue, I will forfeit $100 of the national initiation fee and $100 of the chapter processing fee. Should I choose to continue with this process, I will be expected to sign a statement (Fee Concession Agreement), acknowledging you understand and accept the terms at the time you pay your National and Local Chapter initiation fees and dues.

I hereby apply for membership into Delta Sigma Theta Sorority, Incorporated. My signature below certifies that I reside at the address on this application and it is my true, fixed, permanent, primary home and principal living establishment and the place to which, whenever I am away, I have intention of returning.

I HEREBY CERTIFY, under penalty of perjury, that all statements made herein, and on any attachments, are true and correct to the best of my knowledge. I also authorize any person(s) or organizations(s) to supply information that is required by Delta Sigma Theta Sorority, Incorporated.

By signing this document, I certify and agree that I have read all of the aforementioned documents, understand Delta’s anti-hazing policy, and agree to comply with Delta's membership intake process, including its anti-hazing policy.