Columbus State University
Ω ORDER OF OMEGA Ω
APPLICATION FOR MEMBERSHIP
Order of Omega is the National Greek Honor Society, which recognizes the top 3% of sorority and fraternity leaders.
Applications are due no later than 5:00 p.m. on Wednesday, Mar. 13, 2012.
Name
Student 909#
Classification (JR, SR, GRAD)
Expected Graduation Date
Greek Affiliation
Date Initiated
Local Address
Local Phone
Home Address
Home Phone
Zip
Other Phone
Enrollment at CSU
from
to
Major(s)
Previous college(s) and dates attended
I ____________________________ chapter advisor for the above mentioned student recognize that he/she is in
good financial standing with the chapter and is a member in good standing with the national fraternity/sorority.
______________________________
Signature
Ω HONOR AND INTEGRITY STATEMENT Ω
I realize that by submitting this application, I am making a pledge to support Order of Omega in all of
its activities, should I be selected as a member. I affirm that the information provided on this application is
correct and true. I wish to waive my rights granted me by the Family Education Rights and Privacy Act of 1974
and permit Columbus State University to release academic information about me to the Greek Affairs. I
understand that this waiver will be in effect until I notify Greek Affairs that I no longer wish to have such
information released.
_________________________________________
Signature
_________________
Date
ACADEMIC PERFORMANCE
Cumulative GPA:
Number of hours currently attempting:
Number of hours attempted previous semester:
Previous semester GPA:
Transfer hours:
Transfer GPA:
GREEK COMMUNITY INVOLVEMENT
Please list all offices held but do not state your Chapter name. Semester affiliated:
CHAPTER INVOLVEMENT
Committees/Offices Held:
Dates Involved:
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INTERFRATERNITY COUNCIL, NATIONAL PAN-HELLENIC COUNCIL, OR PANHELLENIC
COUNCIL INVOLVEMENT
Office/Positions Held:
Dates Involved:
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GREEK WORKSHOPS, CONFERENCES, AND LEADERSHIP TRAINING
Title
When Attended
_______________________________________
________________________
_______________________________________
________________________
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GREEK HONORS, GREEK AWARDS, AND GREEK SCHOLARSHIPS (please explain)
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UNIVERSITY INVOLVEMENT
Student Government, Athletics, Music, SGA , SAC, Servant Leadership, Department
Organizations, Religious Groups, Committees, Etc…
ORGANIZATION MEMBERSHIPS
_______________________________________________
DATES INVOLVED
____________________
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ORGANIZATION OFFICES HELD
________________________________________________
DATES IN OFFICE
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WORKSHOPS, CONFERENCES, AND TRAINING PROGRAMS
Title
When Attended
________________________________________________
____________________
________________________________________________
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UNIVERSITY HONORS/AWARDS AND CAMPUS SCHOLARSHIPS (please explain)
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COMMUNITY SERVICE AND OTHER INFORMATION
SERVICE PROJECTS
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PERSONAL TIME GIVEN/MONEY
RAISED
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ADDITIONAL ACTIVITIES (please explain)
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PERSONAL STATEMENT
What leadership roles would you like to have during the remainder of your college career? (N/A
for graduating Seniors)
How can Order of Omega improve the Greek and campus community at Columbus State University?
Additional Comments: