ALPHA PHI ALPHA FRATERNITY, INC. ®
Herman “Skip” Mason, Jr. General President
www.APA1906.net
Brothers,
Executive Director
This form is to be completed and submitted to the Regional Vice President or his designee prior to your Chapter being considered for the PRIVILEGE of executing the Initial Membership Development Process (IMDP). Before submitting to the approving individual, please ensure that ALL fields are filled in and the appropriate signatures are received. Much of the data required you should be able to obtain via AlphaNET. However, if there is a discrepancy between the data in AlphaNet and the data entered in this form, please provide proper proof of the data entered when submitting this form.
If there are questions about how to fill out this form or what information should be placed in the fields, please contact the Regional Vice-President, his designee or the General Office at forms@apa1906.net
Fraternally,
Membership Development Process Team
General Information
Chapter Name:
ATTACHMENT A - REQUEST FOR INITIAL MEMBERSHIP DEVELOPMENT
Chapter Key: Chapter Seat: Are all officers IMDP certified Yes No % of Chp Brothers IMDP Certified (min 50%)
Give the date the following items were paid or submitted Chapter Tax: Chapter Insurance: Chapter Directory & Report:
For the following conventions/conferences, give the ratio of Chapter Bros: (registered) vs (delegate strength) Regional Conv: / General/Special Conv: /
Give the date(s) you executed the following National Projects/Programs within the past year (*=Mandatory) GTHGTC* VPHP* Project:Alpha* Brothers’ Keeper
Is the chapter currently on probation, suspension or have outstanding fees or taxes to the university and or fraternity? Yes No If yes, please explain.
Are any Brothers in the chapter on probation or suspended by the college/university or fraternity? Yes No If yes, provide name(s), and date(s):
Does your chapter have unpaid fines as a result of a fine(s) of a brother(s)? Yes No If yes, please explain.
College Chapters Only:
Alumni Chapters Only: Does Your Chapter have a Reclamation/Retention Plan? If so, describe it. If not, explain why? Yes No
Total number of active Brothers in your Chapter
How many Brothers have been reclaimed within the past Fraternal year Reclamation % Increase How many Brothers initiated within the past 3 Fraternal years
How many Brothers initiated within the past 3 Fraternal years are ACTIVE Retention %