PIKE OF THE MONTH NOMINATION

Use this form to nominate an individual who exemplifies the Pike of the Month through his work in the chapter, his accomplishments in the classroom or his contributions to the campus and community. The Pike of the Month is recognized in the Forum newsletter. Deadline for each issue is the last day of the preceding month.

Nominee: College/University: Chapter: Year of Initiation: Class: Freshman Sophomore Junior Senior Major: Grade Point Average: Email: Fraternity Offices/Positions (Past and Present): Significant Contributions to the Chapter: Campus Activities and Offices Held: Awards, Recognitions and/or Honoraries: Civic Activity: Significant Contributions to the Community: Future Plans (graduate school, career, etc.): Briefly describe why this individual should be a Pike of the Month: Your Name: Your Phone: Your Email: Date: