DO NOT WRITE IN THIS SECTION – CORPORATE OFFICE USE ONLY
Processor initials: ________ Date: __________________
Alpha Kappa Alpha Sorority, Incorporated
®
Transfer Verification Form
According to the
Constitution and Bylaws,
Article IV, Section 43:
A soror must clear through the Alpha Kappa Alpha Corporate
Office all financial obligations to her former chapter and the Boule before receiving her transfer…A soror’s current financial
obligations to her chapter begin as of the date of the transfer on a pro-rata basis…
First Name Middle Initial Financial Number
___________________________ _____________________
________
_____________
Address
City
State
______________
ZIP
Country
Signature of Soror (Required): ___________________________________________
Transferring into which chapter: _________________________________
Transferring Chapter MUST Complete the Following (
Only Complete Applicable Portions):
*Provide a copy of this form to the member, Corporate Office, and retain a copy for chapter files.*
Soror _______________________________________ HAS fulfilled all financial obligations to the chapter.
Soror _______________________________________ HAS NOT fulfilled financial obligations to the chapter.
• Amount owed $ __________________ to our chapter for__________________________________________.
Soror _______________________________________ is suspended until __________________________.
________ ____________
City State
______________
ZIP
Country
Basileus Signature
Date
Graduate Advisor Signature
(Undergraduate Chapters ONLY)
__________________________________ ___________________
--------------------------------------------------------------------------------------------------------------------------------------------------------------
▪ Transferring into a chapter :
o Member must submit a copy of this form and appropriate fees for the current year to her new chapter of affiliation,
and the new chapter will then submit this information to the Corporate Office.
Note: If member is active for the current year, chapter will list the soror’s name on a
Transfer Report
, attach her transfer form and
send to the Corporate Office.
▪ Transferring from General Membership into a chapter :
o Member must submit a written request to the Executive Director and provide the name of the chapter with which she
wishes to affiliate her membership. Once the request is processed, the member will receive a
Transfer Verification Form
with the Executive Director’s signature.
- Member will submit transfer form, a copy of her request to the Executive Director and appropriate fees to the new
chapter.
Last Name
Submit fees via certified check or money order to the Corporate Office when transferring into General Membership. - NO PERSONAL CHECKS
_________________________________ _____________ ________________________________________ __________________________
Date
Tamiouchos Signature
Select One:
Undergraduate Chapters MUST have signatures from the Graduate Advisor AND one chapter officer (either Basileus or Tamiouchos)
Graduate Chapters MUST have signatures from the Basileus AND Tamiouchos
*Forms without the necessary officer signatures are not accepted.*
_________________________________ ____________________________________ ____________________
Chapter Name
___________________________
Address
_______________________
_________________________________
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