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Chapter Formation/Reactivation Form

If you are interested in starting or reactivating a chapter, first review our list of chapters to see if a chapter has already been chartered on your campus or not. Next, complete this form to send us your contact information so that we may start the process.

Name:

[ First Name ] [ Last Name ]
Email:
Street Address:
City:
State:

Zip Code:
Phone Number: (format: 123-456-7890)
Class:

School Name:
School City:
School State:

Section:


  • Are you currently a member, or have ever been affiliated with, any of the following organizations: Boy Scouts of America, Girl Scouts USA, Campfire USA, America's Promise, Youth Service America, USA Freedom Corps, or another service-related organization? Please specify:

  • What other organizations are you currently a member of on your campus?

  • How did you hear about Alpha Phi Omega?


  • Are you an alumni of another chapter of Alpha Phi Omega?

  • Is this a new chapter formation, or a charter reactivation of an inactive chapter?


Is there any additional information that you would like to provide?