Full Name:
*
E-mail:
*
Contact Number:
*
Chapter Name:
*
Atlantic Cape , Alpha Delta Mu ,
Bergen, Alpha Epsilon Phi
Berkeley College, Alpha Upsilon Epsilon
Brookdale, Alpha Pi Theta
Burlington, Chi Iota
Camden, Alpha Nu Mu
Centenary College, Delta Phi
Morris. Alpha Kappa Kappa
Cumberland, Rho Gamma
DeVry University, Beta Delta Theta
Essex, Alpha Theta Theta
Gloucester, Alpha Psi Pi
Hudson, Beta Alpha Phi
Mercer, Alpha Theta Gamma
Middlesex , Upsilon Gamma
Ocean, College Tau Iota
Passaic County, Alpha Eta Chi
Raritan Valley Alpha Epsilon Pi
Salem, Alpha Pi Omega
Sussex, Alpha Upsilon Pi
Union, Iota Xi
Warren, Alpha Upsilon Rho
OTHER
What is your Chapter's Five Star program status?
1
2
3
4
5
Position:
*
Chapter Member
Chapter President
Chapter Advisor
Vice President of Scholarship
Vice President of Leadership
Vice President of Service
Vice President of Fellowship
Vice President of Communications
Vice President of Community Events
Vice President of Finance
Vice President of Fundraising
Vice President of Membership
Vice President of Public Relations
Executive Assistant
Chapter Treasurer
Recording Secretary
Public Relations Secretary
Operation Green Coordinator
Honors In Action Coordinator
Committee Leader
Alumni
Middle States President
Middle States President of Service
New Jersey State President
Pennsylvania State President
Maryland/Delaware State President
Consent to print your contact info in the program:
*
Yes
No
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Things to Bring!
We thought it would be great if everyone brought their favorite food dish to share. Cannot cook? Drinks, Deserts, and Appetizers are also welcomed and appreciated.
Bring your Laptops,
extension cords and power strips. Because we are going to show you how to set-up, maintain, and a use a Wordpress chapter members blog on the PhiThetaKappaNJ.org domain. We will explain the reasons why having one will help you increase member involvement and full fill five-star program requirements.
Bring your Video Camera!
We need volunteers to take video & photos, so we can document the event and share our experience with others through out the Middle States Region.
In the Spirit of
Honors in Action
, we would like you to bring a childrens book for Brookdale's childrens literacy project and/or a few can goods for a local pantry.
We will bring the following items:
a dish of food to share
an Extension Cord or Powerstrip
a Digital Video Camera to record the event!
Children Books (for childrens literacy program)
Canned Food (for a local Pantry)
I will bring:
Desert (cakes, cookies)
Drinks (soda, juice, water)
Cooked food
Other
Description of dish:
I would like to help out with:
Taking Video (I will bring my digital video camera)
Taking Photos ( I will bring my digital camera)
Teaching others how to Blog
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I am intersted in following:
*
Creating a Chapter Blog/Website
Servant Leadership
NJ President\'s Five-Star Challenge
Honors In Action
Regional Service Project
We are conducting Interviews on the Phi Theta Kappa Experience. Would you like to be interviewed?
Yes, you can interview me!
No thanks!
Questions, Comments, and Concerns:
Submit
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