Sigma Chi Fraternity Order of Constantine Nomination

“Wearing the White Cross in a manner the Seven Founders would have commended”

Date Submitted:

Important ONLY A COMPLETED NOMINATION WILL BE ACCEPTED

To complete this nomination you will need the following information:

1)Nomination Deadline - must be completed prior to December 31

2)Nominee Information - You will need contact information, chapter information and a photo of the nominee

3)Nominator Information - You will need to decide who will serve as the official nominator for the candidate

4)Endorsers - you will need a list of at least five (5) endorsers, three (3) of whom are Order of Constantine members and their email addresses

5)Involvement - You will need to know information about the candidate’s involvement in undergraduate, alumni, House Corporation and International Fraternity affairs, including positions held and dates of service.

6)Event Attendance - You will need to know the number of International Fraternity events the candidate has attended, including Grand Chapter/Council and Balfour LTW.

7)Recognition and Awards - You will need a list of any Fraternity awards attained by this member.

Nominee Information:Date Nominated

______

Preferred Full Name:

______First Name M.I. Last Name Suffix

______

Chapter, UniversityGraduation Year

______

AddressCityState/ProvinceZip CodeCountry

______

Home PhoneWork Phone Cell Phone

Please include a headshot of the nominee with your application

Email Address

Nominator Information:

______

First NameMiddle NameLast Name

Are you an Order of Constantine member (YES or NO)

______

ChapterGraduation Year

______

Address CityState/ProvinceZip CodeCountry

______

Home PhoneWork PhoneCell Phone

Email

In your view, what sets this brother apart and qualifies him to be recognized as an Order of Constantine Sig? The impact of a Brother’s service to Sigma Chi and the results he has helped achieve will carry more weight with the selection committee than a lengthy list of activities performed? (Max. 700 Characters)

Undergraduate Chapter Involvement:

Please describe any major activities that the nominee has been involved with: (e.g. Fund Raising, Events, Rush, Initiation, University/Community, etc.) Provide additional information relating to local chapter and school involvement.

(Max 700 Characters)

Please list any positions held by the nominee:

Chapter/SchoolRole ServedYears Served

House Corporation Involvement

Please describe any major activities that the nominee has been involved with or provide any additional information relating to House Corporation Involvement. (Max. 700 Characters)

Please list any positions held by the nominee:

Chapter/SchoolRole ServedYears Served

Alumni Chapter Involvement:

Please describe any major activities that nominee has been involved with or provide any additional information relating to Alumni Chapter involvement. (Max. 700 characters)

Please list any positions held by the nominee:

Chapter/Role ServedYears Served

International Fraternity Involvement:

Please describe any major activities that the nominee has been involved with or provide any additional information related to Involvement with the International Fraternity. (Max. 700 characters)

Please list any International Fraternity offices held:

Office/Volunteer PositionYears Served

Please list any International Fraternity committees the nominee has chaired:

Committee Chaired Years Served

Please list any International Fraternity committees on which the nominee has served:

Committee Years Served

Event Attendance:

Number of Grand Chapters Attended______

Number of Grand Councils Attended______

Number of Balfour LTW’s Attended______

Recognition and Awards:

Please list any Sigma Chi awards the nominee has received

1/5