2023 Graduate Advisors
Certification Training
Application
Who must receive a Graduate Advisor Certification ?
• Candidates for Graduate Advisor to an undergraduate chapter
• Members of the Chapter ’ s Graduate Advisory Committee
• Graduate Certification has expired or will expire in 2023
• Sorors in chapter leadership positions ( Optional )
• Sorors planning to pursue International offices ( Optional )
What are the Graduate Advisors ’ Certification Levels ?
• LEVEL I – Comprehensive training for sorors who have never certified : Graduate Advisor candidates , Graduate Advisory Committee Members , sorors in chapter leadership positions ; OR sorors who have allowed their certification to expire .
• LEVEL II – Intermediate training for currently certified Graduate Advisors seeking to recertify within the effective period of their certification .
Name : _________________________ Financial #: ______________ Address : _______________________________________________ City , State , ZIP : __________________________________________ Email : ____________________________ Phone : ______________
Graduate Advisor Certification expiration date ( if applicable ): ______
Training : □ Level l or □ Level Il
Location of Training
2023 ______________________________ Regional Conference ( insert name of region )
REGISTRATION MUST BE RECEIVED BY JANUARY 17 , 2023
AFFIRMATION AND VERIFICATION STATEMENTS :
I , ( insert name ) _______________________ , DO HEREBY SWEAR OR AFFIRM THE FOLLOWING :
I have been a member of ( insert graduate chapter ) _________________________________ Chapter for at least two consecutive years [ 24 months of active membership as defined by Corporate Office ] immediately as of January 1 , 2023 ; I have never been suspended for hazing ; I attended the 2022 Boule and / or 2021 or 2022 Regional Conference . By signing this form , I verify that the information I have provided is true and correct . I understand that Alpha Kappa Alpha Sorority , Incorporated ® can rescind any rights or privileges of a member based on the submission of false information or documents .
Conferences Attended : □ ______ Boule □ _______ Regional Conference Chapter Name : ______________________ Region : _________________ Signature : __________________________ Date : ___________________
CHAPTER VERIFICATION STATEMENT : Based on chapter records / documents , I hereby affirm that this applicant has met the requirements for Graduate Advisors ’ Certification Training – ( 1 ) there are no chapter records of the applicant ever having been suspended for hazing ; and ( 2 ) the applicant has been a member of this graduate chapter ( including Life Members that have paid current dues ) for at least two consecutive years [ 24 months active membership as defined by Corporate Office ] immediately as of January 1 , 2023 . I also affirm that I am not signing my own verification statement .
Printed Name of Basileus *: __________________________________ Signature of Basileus : ______________________________________
□ ___________________________________ * Grammateus must sign
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