Date Received: _______________
Initiation & Grade Release Commitment Form
Organization: ________________________________________ Date Initiated: _________________________
We hereby declare that the following individuals were initiated into our organization. If any of the individuals listed below withdrawal from the organization at any
point after initiation, the chapter is responsible for notifying the Office of Fraternity and Sorority Affairs and updating their current roster.
President Signature ________________________________________ Advisor Signature: ___________________________________
By signing this document, I hereby authorize the Office of Student Activities to release my cumulative and semester grade point averages to my fraternity/sorority
for the duration of time that I am a member of that organization at Winthrop University.
Name (Printed)
Winthrop ID #
Signature
If you have more than 20 members being initiated, make two copies of this form and staple them together.
*This form is due to The Office of Fraternity and Sorority Affairs the business day following initiation*