STATEMENT OF RESPONSIBILITY CHAPTER OFFICERS & KEY COMMITTEE CHAIRMEN Chapter: __________________________________________________ College/University: __________________________________________________ As an officer or key committee chairman of the above named chapter, I have read the Pi Kappa Phi Fraternity Risk Management Policy. I understand that as a responsible office or key committee chairman of my chapter, the other members of the Executive Council and I have a responsibility to actively enforce these regulations and that violations of these regulations by any member of the chapter could result in fraternity conduct proceedings, as well as civil and/or criminal penalties. I also understand that it is my responsibility to share these regulations with all members of my chapter. By signing this document, I accept the terms of the above statement of responsibility. ______________________________ DATE SIGNED ________________________________________ ________________________________________ ARCHON // PRINTED NAME ARCHON // SIGNATURE ________________________________________ ________________________________________ VICE ARCHON // PRINTED NAME VICE ARCHON // SIGNATURE ________________________________________ ________________________________________ TREASURER // PRINTED NAME TREASURER // SIGNATURE ________________________________________ ________________________________________ SECRETARY // PRINTED NAME SECRETARY // SIGNATURE ________________________________________ ________________________________________ WARDEN // PRINTED NAME WARDEN // SIGNATURE ________________________________________ ________________________________________ HISTORIAN // PRINTED NAME HISTORIAN // SIGNATURE ________________________________________ ________________________________________ CHAPLAIN // PRINTED NAME CHAPLAIN // SIGNATURE ________________________________________ ________________________________________ RISK MANAGEMENT CHAIRMAN // PRINTED NAME RISK MANAGEMENT CHAIRMAN // SIGNATURE ________________________________________ ________________________________________ STANDARDS BOARD CHAIRMAN // PRINTED NAME STANDARDS BOARD CHAIRMAN // SIGNATURE ________________________________________ ________________________________________ PHILANTHROPY CHAIRMAN // PRINTED NAME PHILANTHROPY CHAIRMAN // SIGNATURE