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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.

Note: This form should be used by interested students or administrators in the United States or Canada only. If your school is located in the Republic of the Philippines or Australia, please contact Alpha Phi Omega of the Philippines. If your school is located in another nation, please contact the International Relations Director via private email.

Name:


[ First Name ]	[ Last Name ]

Email:

Street Address:

City:

State/Province:

Zip Code:

Phone Number:

(format: 123-456-7890)

Class:

School Name:

School City:

School State/Prov:

School Zip Code:

School Section:

This is for internal organizational use. If you are uncertain of which section your school is in, please click here for the list of Alpha Phi Omega's current sections and select the appropriate section below based on geographical descriptions.

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 currently enrolled as an undergraduate student at this school?
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?

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