PETITION TO



|[pic] |PETITION TO |

| |ASSOCIATION OF COLLEGE HONOR SOCIETIES* |

|Petitioning Society Name: | |

|Academic Field: | |

|Category: | |

|Date Society Became National: (located in | |

|two or more geographic areas) | |

|Website Address: | |

|Official Contact Name: | |Telephone: |( ) |

|Address: | |Email: | |

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|National Headquarters Location |Telephone: |( ) |

|Address: | |Fax: |( ) |

| | |Email: | |

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National Officers

|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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National Officers (continued)

|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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|Officer Name: | |Position: | |

|Address: | |Telephone: |( ) |

| | |Email: | |

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Please attach an additional page if needed.

Signed:

Position: Date

* It is the responsibility of the petition to demonstrate how the ACHS standards (as expressed in the Bylaws) are met.

Respond in full detail to the following items (as delineated in the ACHS Bylaws, ) and complete the ACHS Evaluation Form () to self-evaluate the quality of the petition.

Society Description

1. Founding

2. Number of chapters

3. Total membership

4. Purpose

5. Major Activities

6. Induction fee

7. Trademarks or registrations

8. IRS classification

9. Authorization for petition

Individual Members of Societies (Article III, Section 6, B):

1. Membership eligibility standards

2. Membership invitation process

Collegiate Chapters of Societies (Article III, Section 6, D):

1. Chapter charter process

2. Charter approval process

3. US institutional standard

4. Non-US institutional standard

Governance of Societies (Article III, Section 6, F):

1. Election of governing board

2. Adoption and amendment of governance documents

3. National convention or equivalent democratic process

Attachments to Petition:

| |Evaluation Form | |Most recent Statement of Financial Position (Balance Sheet) |

| |Constitution/Bylaws | |Most recent Financial Audit (or Review or Compilation) |

| |Articles of Incorporation | |IRS Form 990 |

| |Policies that support the elements of the petition | |Roster of chapters with institutions, city/state, installation dates |

| |A copy of your organization’s IRS determination letter (sent when you received 501(c)(3) tax-exempt status) |

| |Application fee of $500 made payable to ASSOCIATION OF COLLEGE HONOR SOCIETIES |

File by September 1* with

Executive Director

ASSOCIATION OF COLLEGE HONOR SOCIETIES

PO Box 798

Okemos, MI 48805-0798

* Petitions received after September 1 may be delayed one year for consideration.

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