Question Title

* 1. First Name

Question Title

* 2. Last Name

Question Title

* 3. Initiated Chapter and School (example Gamma Triton/University of South Carolina)

Question Title

* 4. Email Address

Question Title

* 5. Phone Number

Question Title

* 6. Address

Question Title

* 7. City/State/Zip Code

Question Title

* 9. Do you have a vehicle and valid driver’s license for official travel in your region?

Question Title

* 10. Please list your volunteer involvement within Phi Sigma Kappa. Include positions, dates and chapters.

Question Title

* 11. In detail, please describe the top three reasons why you are applying to be a Regional Adviser.

Question Title

* 12. Which higher education/fraternal topics are you most versed in and can be a resource for?

Question Title

* 13. Which higher education/fraternal topics do you feel you need more training in?

Question Title

* 14. We are looking to hold an in-person training for all selected Regional Advisers. Which date (or both) are you available to attend (location TBD): November 15-17 or December 13-15?

Question Title

Image

T