Omega Chi Epsilon Award Request
Use this form to submit a request for an OXE Award. Each chapter may request one engraved plaque per year at no cost. Additional plaques are $25 each. Payment instructions for an extra plaque are provided after submission.

Please submit your request at least three weeks before the presentation data.
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Email *
Responder Name *
Enter name of person completing form
University *
Enter the name of your university
Chapter *
Enter your chapter name (e.g., Beta Nu)
Recipient's Name *
Enter exactly as it should be engraved
Presentation Date *
Enter the date the award will be presented
MM
/
DD
/
YYYY
Selection Criteria *
What is considered in the selection process
Selection Process *
How is the recipient selected based on the selection criteria
Award Presentation *
How will be the award be presented to the recipient
Recipient Biographical Sketch *
Brief description of recipient's background
Mailing Address *
Complete address for mailing the award
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