GPA & Honor Roll Regional Award Form

Name of person completing form *

Email *

University/College *

Street 1 *

Street 2

City *

State *

Zip *

Fraternity/Sorority Advisor *

Advisor Email *

Spring 2011 Undergraduate GPA:

Spring 2011 All Fraternity/Sorority GPA:

Fall 2011 Undergraduate GPA:

Fall 2011 All Fraternity/Sorority GPA:

Please select the regional conference you plan to attend.
Choose oneAFLV CentralAFLV WestNGLASEIFCSEPCNot planning to attend, but want to be considered for the awards

If you selected and plan to attend SEIFC or SEPC, please complete the below information.

Spring 2011 Sorority GPA:

Spring 2011 Fraternity GPA:

Fall 2011 Sorority GPA:

Fall 2011 Fraternity GPA:

Spring 2011 All-Women’s Undergraduate Average:

Spring 2011 All-Men’s Undergraduate Average:

Fall 2011 All-Women’s Undergraduate Average:

Fall 2011 All-Men’s Undergraduate Average:

Please share an activity, recognition event or program your community does in order to foster academic achievement:

Comments/Questions