Eastern Michigan University
Affiliation Form
Organization: _________________________________________________________
New Member Preferred Name: ________________________________________
Has this member already been affiliated with this chapter? ☐ Yes ☐ No
I hereby authorize the office of Campus Life at Eastern Michigan University and the appropriate governing council to examine my academic and judicial records at Eastern Michigan University in order to determine my eligibility for joining a fraternity or sorority, as established by the respective council and its member organizations. I further understand that my academic progress will be regularly monitored by the office of Campus Life at Eastern Michigan
University and the respective council to determine academic eligibility for various activities sponsored by the council or Campus Life. In addition, I understand that my grades will be furnished to my fraternity or sorority and my fraternity or sorority advisor upon their request, or as the office of Campus Life deems appropriate.
As a newly initiated member of EMU Greek Community I understand that subsequent new membership processes must follow all Eastern Michigan University policies, as well as the New Membership process approved by my respective (Inter) National Headquarters and Regional Leadership. Any violation of policies may subject my organization and/or individual members to sanctions in accordance with the EMU Student Conduct Code. Further, hazing is prohibited and defined in the Anti-Hazing Act (MCL 750.411t) of the State of Michigan Penal Code, in the
EMU Student Conduct Code Section V, M. Hazing, and in the University Hazing Policy. Further, I understand that all forms of hazing by any university student, student organization, or employee, are expressly prohibited and serious penalties, such as suspension or loss of recognition by Eastern Michigan University, may be imposed on individuals or groups found in violation of these rules.
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By signing this form, I attest that all the information on this application is accurate to the best of my knowledge. I understand that the falsification of any information, for any reason, may result in the termination of my position.
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I understand and agree that the campus officials/staff within the Office of Campus Life have a legitimate educational interest in accessing and reviewing my student record information as described above and I hereby authorize the disclosure/release of this information to these Campus Life officials/staff. Further, in consideration for my being allowed to participate as a member in the above named organization, I hereby authorize Campus Life to disclose/release my grades and/or judicial records to the organization. I understand further that: I have a right not to consent to the release of my grades and/or judicial to the organization; I have a right to receive a copy of such records upon request; and that this authorization shall remain in effect until revoked by me, in writing, and delivered to Campus Life.
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By signing below, I certify that I have read, understand, and agree to abide by the Eastern Michigan
University Hazing Policy. Further, I understand that action found in violation of the University’s Hazing
Policy as stated in the Eastern Michigan University Student Conduct Code may result in organizational and/or individual charges.
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EMU Student ID#:
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Permanent Address: __________________________________________________
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Signature of New Member
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