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Alpha Kappa Alpha Sorority, Incorporated ®
“Restoring Our Sisters for Sustainable Service” Reconnecting-
Renewing-Rededicating
Reinstatement Workshop
Soror Data Sheet and Registration Form
Name: _____________________________________________________________________________
Address: __________________________________________________________________________
Street
Apt. No.
__________________________________________________________________________________
City
State
Zip
Home Number________________ Home Fax _________________ Cell Phone__________________
E-mail Address _____________________________________________________________________
Birth Date ___________________________________________________________________________
College(s) Attended/Degree(s)
College/University
Major
Degree
Graduation Date
Chapter Initiated/College/University:
__________________________________________________________________________________
City ______________________________________________ State ___________________________
Date Initiated__________________________
Suspension Date ____________________________
Employer __________________________________________________________________________
Address ____________________________________ Telephone Number ______________________
Position (Summarize responsibilities)
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
Skills _____________________________________________________________________________