Northern Virginia Alumnae Chapter Membership Form 2023-2024
Welcome to our electronic membership form. If you have any issues filling out the form please email novaofzta@gmail.com. If you would prefer to mail us a paper form please visit our website to print one out. Thank you!
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First Name *
Last Name *
Maiden Name
Date of Birth *
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Full Mailing Address *
Phone Number *
Email Address *
Your Zeta Information
Collegiate Chapter *
College/University *
Initiation Date
If you don't remember the exact date of your initiation just add in month, year and "01" for the date.
MM
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DD
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YYYY
Previous Alum Offices Held
Check all that apply
For Each Position Marked Above Please Detail the Years You Served
Ex. President 2016-2018
Awards Received
Check all that apply
All About You
I am.... *
Check all that apply
Required
Accomplishments Outside of ZTA: Tell us more about your professional and personal accomplishments. Have you received awards at work? Are you the manager, CEO, CFO, VP, etc. of a company or own your own company? Do you hold a leadership position or are a member of another service organization?  
Would You Be Interested In Holding a Committee Position?
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Not only does Zeta Tau Alpha turn 125 years old this October, but our Alumnae Chapter turns 75 years old this March!

Would you be interested in serving on an Anniversary Committee to assist with local celebrations? 

Hoping we can find two co-chairs and several committee members to assist so the workload is evenly spread! 
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Please check if you are interested in any of the following:
Payment Information
 *If you would like to make a donation to support the scholarship please include a separate check made out to "Zeta Tau Alpha Foundation" with your dues check for the amount you would like to contribute.
Membership Type *
Payment Form *
If sending a check please mail check to Catherine Posey  at 14420 Salisbury Plain Court, Centreville, VA 20120
Our Calendar of Events
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