Psi Delta Chi Military Sorority, Incorporated Prospective Candidate Application Form
I understand that falsification of any information below on this application or attachments will eliminate me from being considered for membership into Psi Delta Chi Military Sorority, Incorporated. By signing this form, I verify that all of the information I have provided is true and correct. I understand that at any time, Psi Delta Chi Military Sorority, Incorporated can rescind any rights or privileges to an applicant based on the submission of false information or documents.  
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Email *
First, MI, Last (Any other names previously used) *
Permanent Address City and State Zip Code
Home Phone/ Cell Phone *
Email *
Place of Employment Title/Position (Work Phone optional):
Gender: (Place an “X” next to your selection.) *
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Marital Status:
Birthday
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Shirt Size
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Jacket Size
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Military Branch
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Current Military Status
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Current or last paygrade held in the Military
Disabled Veteran
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Do you have prior knowledge of Psi Delta Chi Military Sorority, Incorporated?
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How did you hear about Psi Delta Chi Military Sorority, Incorporated?  
Were you ever part of another Military Greek Letter Organization (MGLO)? (If YES, please list all MGLOs you were a part of and the years as a member.)  
What talents do you possess that will ensure that Psi Delta Chi Military Sorority, Incorporated will maintain its status as the Elite Military Greek Letter Organization for military women?  
References: Please provide (2) two references NOT related to you. Name, Phone Number, Email Address, Affiliation with individual?
Academic background: Please list Degree(s) earned. Degree(s) Earned/ Date
List honors and achievements you received while pursuing your degree(s):
List the organization(s) that you have been involved in that directly impact your community. (You may attach additional typed responses if necessary.)  
Have you attended a Psi Delta Chi Military Sorority's informational?
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Have you read and do you understand Psi Delta Chi Military Sorority’s Anti-Hazing Policy?
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Have you ever participated in or been accused of hazing as it relates to any organization? If you answered Yes, please explain:
Are you listed in a personal or professional manner on any websites or social media accounts?  If you answered Yes, please provide the links and profile names.
ANTI-HAZING POLICY
Psi Delta Chi Military Sorority, Incorporated has a strict policy against hazing. Hazing is defined as an act or series of acts that may include, but are not limited to: attending unauthorized interest meetings or sessions; removing garments; eating or drinking anything given to you as a requirement for membership in Psi Delta Chi Military Sorority, Incorporated; being subjected to any form of verbal, physical or mental harassment, intimidation or disgrace; “underground hazing,” “financial hazing,” “pre-pledging” or “post-initiation pledging.” Psi Delta Chi Military Sorority, Incorporated requirement is that those interested in membership in the Sorority will support our policy against hazing, harassment and/or humiliation of any kind.I acknowledge that I have read, understand and will abide by the policy of Psi Delta Chi Military Sorority, Incorporated which forbids hazing. The candidate further agrees to indemnify and/or hold harmless Psi Delta Chi Military Sorority, Incorporated, its affiliates, regions, chapters, and their respective agents, officers, and employees for any and all acts of hazing in which the candidate participates and which result in harm to the candidate or anyone else from this day forward in perpetuity.  
BACKGROUND CHECK
As part of the membership application process, Psi Delta Chi Military Sorority, Incorporated will conduct a background check on you. Such a process requires your permission for Psi Delta Chi Military Sorority, Incorporated to obtain a background check from a reporting agency. You will be responsible for the cost associated with obtaining your background check. Your report may include, but not be limited to, the following information: consistent with applicable federal, state, and local laws that include obtaining information on convictions and/or pending prosecutions. I hereby authorize Psi Delta Chi Military Sorority, Incorporated to conduct a background check and to investigate my qualifications as they relate to my becoming a member in the organization for which I am applying. I understand that Psi Delta Chi Military Sorority, Incorporated may utilize an outside firm or firms to assist in checking such information. I specifically authorize such an assessment by information services and outside entities of Psi Delta Chi Sorority, Incorporated’s choice. I agree to release and hold harmless Psi Delta Chi Military Sorority, Incorporated from any and all liability with respect to receipt of such information and acknowledge that Psi Delta Chi Military Sorority, Incorporated is relying on third party information and, therefore, release Psi Delta Chi Military Sorority, Incorporated, its affiliates, regions, chapters, and their respected agents, officers, and employees from any and all liability arising out of errors or omissions. I understand it is the responsibility of all those applying to correct and update negative or conflicting information found on their Background Check and that there is no appeal process. I also understand that I may withhold my permission. In such a case, no investigation will be done and my application for membership may not be processed further.
AGREEMENT TO ARBITRATION
I affirm that I understand and agree that any grievances and all disputes regarding membership intake should generally be referred to the Regional Director for investigation and resolution. I understand and agree that all grievances and disputes of a prospective member that cannot be resolved within Psi Delta Chi Military Sorority, Incorporated will be referred to arbitration including claims for personal injury, claims for damages to property, or disputes of any nature that cannot be resolved within Psi Delta Chi Military Sorority, Incorporated, including those arising from the membership intake process. Any grievances and disputes regarding membership intake should be promptly referred to the Regional Director for investigation and resolution. The prospective member specifically agrees to follow all of the rules, regulations, and guidelines relating to the intake process. The prospective member further agrees to promptly report in writing to the Regional Director any infractions and violations of the rules, regulations, and guidelines relating to the intake process. The prospective member acknowledges that Psi Delta Chi Military Sorority, Incorporated is an international organization with entities located throughout the United States of America and abroad. The prospective member recognizes by making this application for membership she agrees to the foregoing matters. The prospective member understands that this agreement has an effect on interstate commerce and is subject to the Federal Arbitration Act. The prospective candidate, her heirs and assigns, and Psi Delta Chi Military Sorority, Incorporated, its officers, employees, agents, affiliates, chapters and members, agree that any and all disputes, conflicts, claims, and/or causes of action of any kind whatsoever, including but not limited to: contract claims, personal injury claims, bodily injury claims, injury to character claims, and property damage claims arising out of or relating in any manner whatsoever to membership of Psi Delta Chi Military Sorority, Incorporated or to the membership intake process shall be subject to and resolved by compulsory and binding arbitration under the Federal Arbitration Act, 9 U.S.C. Section 1, et seq.(https://www.govinfo.gov/content/pkg/USCODE-2015-title9/pdf/USCODE-2015-title9.pdf) , and the commercial rules of the American Arbitration Association. I voluntarily sign this agreement to arbitrate after having a chance to review its provisions.   I understand that falsification of any information above on this application or attachments will eliminate me from being considered for membership into Psi Delta Chi Sorority, Incorporated. By signing this form, I verify that all of the information I have provided is true and correct. I understand that at any time, Psi Delta Chi Military Sorority, Incorporated can rescind any rights or privileges to an applicant based on the submission of false information or documents.  
NEW APPLICATION FEES
*All Applicants are required to pay $700.00 initial membership fee.

*All members are required to pay $250.00 membership yearly renewal fee.

I. Payment Arrangements for Applicants:

Option 1
$700.00 – Paid in Full: This payment will be due one week after your acceptance.

Option 2
$350.00– Down Payment: This payment will be by the end of week 1 intake process.
$350.00 – Remaining Payment: This payment will be due by the end of Week 3 of intake process.

-Applicants will receive line jacket, t-shirt, oxford, seabag, sorority pin, sorority tie, CCC, sorority sword, sorority coin, and certificate of membership.
- Applicants must complete 8- week Cub Intake Process.
 -Applicants must attend Psi Delta Chi Military Sorority, Inc. crossing ceremony.

II. Refund Policy

Refunds are only acknowledged for applicants who withdraw from the intake line. The refund policy is as follows:
Week 1 - 50% of what you paid ($350.00)
Week 2 - 25% of what you paid ($175.00)
**NO REFUNDS AFTER WEEK 2**

**PayPal and CashApp are accepted.

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