Gift Certificates for Follies 2006 by FoxxyBrwn

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									                                                                                                     Promoting
                                                                                                     Excellence
                                                                                                        in the
                                    Alpha Omicron Chapter                                           Profession of
                                                                                                     Counseling
                                      Stetson University
                          421 N. Woodland Avenue, Unit 8389, Deland, FL 32723



Executive Board                    Local Chapter Membership Renewal Form
  2006-2007

                    Name: _______________________________________________________
  Christopher
   Lawrence         Mailing address: _______________________________________________
   President
                                          ______________________________________________
 Cynthia Grow
 Vice President     Phone: (_____)____________ H                                (_____)____________ C

 Jessica Beebe      Email: _______________________________________________________
   Secretary
                    Credit hours completed: _______                  Major: ______________________
Cindee St. Pierre
   Treasurer        Expected graduation date: _______________________________________


  Anthony
  Thompson
                    Dues
Member at Large     Yearly (August – July) eligibility requirements include the following:

                    Paid membership in Chi Sigma Iota International ($35)
 David March,
                    Paid membership in Chi Sigma Iota, Alpha Omicron chapter ($15)
    Ph.D.           Minimum 3.5 cumulative GPA
Faculty Advisor     Participation in one (1) community service project
 321-231-4053       Participation on one (1) committee


                    Committees
                    Please rank in order of interest (1 = highest, 5 = lowest):

                    Membership and Alumni Relations _____
                    Professional Development _____
                    Communication _____
                    Practicum and Internship _____
                    Social Planning _____


                    Yearly dues requirement is $50 (described above)
                    Total enclosed: $_____ (Membership dues and contributions are tax deductible in the U.S.)
                    *Please make check payable to Chi Sigma Iota.

                    **Complete this form by the end of the first week of the Fall or Spring
                    semester and return with your check to:
                    Dr. March, Donna Schick (DeLand), Mig Childs (Celebration),
                    Cindee St. Pierre, or Cynthia Grow.

								
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