ELA Mock Chapter Peer Facilitator Application

The Kappa Alpha Order National Administrative Office will pay for the facilitator's registration fee which covers lodging, meals, and a t-shirt. We also pay for their Stewards of the Order registration fee to cover the Stewards certificate, lapel pin, and wallet card. Facilitators are required to pay for their own travel to and from the conference. Applicants will be selected by May 1st.

College/University

First Name

Middle

Last

Suffix

Cell Phone

Email Address

Mailing Address (Physical, no PO Box)

City

State

Zip Code

1. Please list KA Offices and Committees held in your chapter

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2. Do you belong to another campus student organization? If so, please list them

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3. Have you attended a KA National Conference? NLI, ELA, RoundTable, Province Council, Stewards of the Order? If so, please list the conference and year.

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4. Why should you be selected as a Mock Chapter Facilitator?

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I understand that The Emerging Leaders Academy is alcohol-free, and I agree to not bring, use, or consume alcohol during the program's entirety. I further agree to participate in all activities and remain on the host campus for the duration of the conference. I also understand that violations of these expectations will result in my immediate dismissal from the host property at my own expense.

I also agree to confront inappropriate behavior, serve as a role model, and support the Kappa Alpha Order National Administrative Office in our duty to uphold Kappa Alpha Laws and Policies?

Another expectation of a facilitator is to recruit emerging leaders to attend the conference. How many do you think will attend?

# Attending

If you would like us to send your members additional information, please list their names and emails

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Send a confirmation copy to me upon submission