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					                        
  NORTH CAROLINA STATE CONFERENCE
      October 28 & 29, 2011 - Raleigh, North Carolina
     Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


 2011 CONFERENCE PACKET
       AND SCHEDULE
                        THEME

“Preserving Our History &
 Recognizing Our Icons”




          Phi Beta Sigma Fraternity, Inc.
                                                 
Corporate Headquarters • William E. Doar, Jr. Building • 145 Kennedy Street, N.W. • Washington, D.C. 20011-5294
Office of
Steven G. Jackson
State Director, North Carolina
5300 Duckwing Drive
Raleigh, North Carolina 27604
Steven.Jackson@pbs1914se.org
Phone: (919) 606-3847
Fax: (919) 821-7779


                                                                                                         June 11, 2011


     Collegiate and Alumni Chapters:

     The North Carolina State Board of Phi Beta Sigma Fraternity, Inc. extends an invitation to you and
     your guest to attend the North Carolina State Conference on October 28-29, 2011 in Raleigh, NC.
     The conference will be held at the Brownstone Inn near NC State’s Campus.

     All members are strongly encouraged to submit the completed conference packet by Sept. 30, 2011.

     A block of rooms have been reserved in the name of Phi Beta Sigma at a rate of $79 per night - at the
     Brownstone Inn, which is located at 1707 Hillsborough St., Raleigh, NC 27605. To reserve your
     room at the special group rate, please call (919) 828-0811 by October 10, 2011.
     Highlights of the conference include:

         Blue & White Cookout
         Suited For Success Suit Drive
         Blue & White Step Show
         NC Historic Icons Presentation


     Chapter presidents and/or secretaries, please distribute this packet to your chapter members as soon as
     possible. If you have any questions, please feel free to contact me. Thank you and I look forward to
     seeing you in October!


       Fraternally,




       Steven G. Jackson
       State Director, North Carolina
                                                  
            NORTH CAROLINA STATE CONFERENCE
                      October 28 & 29, 2011 - Raleigh, North Carolina
                      Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

           2011 STATE CONFERENCE TENTATIVE SCHEDULE OF EVENTS

                   BROTHERS                                            SIGMA BETAS
    Friday                                             Friday
    3:00 pm – 6:30 pm Registration – at Hotel              3:00 pm - 6:30 pm Registration
     5:30 pm – 8:00 pm Blue & White Cookout                6:30 pm - 8:30 pm Blue & White Cookout
     9:00 pm - Until   Blue & White Step Show              9:00 pm - Until   Blue & White Step Show

    Saturday                                           Saturday
     8:00 am – 12:00 pm Registration                    8:00 am – 12:00 pm Registration
     8:00 am - 5:00 pm  Vendors                         8:00 am - 5:00 pm Vendors
     8:00 am - 9:00 am  Opening Ceremony                8:00 am - 9:00 am Opening Ceremony
     9:00 am - 9:45 am  Rededication and                9:00 am - 10:30 am SB Session I
                        Omega Ceremony                 10:30 am - 10:45 am Break
     9:45 am - 11:45 am State Business Session         10:45 am - 11:45 am State Business Session
                          (State of NC Report &                              (State of NC Report &
                          Candidates Forum)                                  Candidates Forum)
    11:45 am - 12:30 pm Voting                         11:45 am - 12:30 pm Voting
    12:30 pm - 2:00 pm Luncheon & Awards               12:30 pm - 2:00 pm Luncheon & Awards
                          Ceremony                                          Ceremony
    pm - 3:00 pm Sessions Ia & Ib              pm - 3:00 pm Sessions Ia & Ib
      3:00 pm - 4:00 pm Sessions IIa & IIb               3:00 pm - 4:00 pm Sessions IIa & IIb
      4:00 pm - 4:30 pm Conference Closing &             4:00 pm - 4:30 pm Conference Closing &
                         Election Results                                  Election Results
      4:30 pm - 6:00 pm State Board Meeting

SUITED FOR SUCCESS – The Suited for Success program has been a vital part of our previous State and
Regional Conferences. This program provides donated suits to our collegiate brothers. Please bring your
(clean) gently used suits to the business session on Saturday morning.



ADDITIONAL CONFERENCE EVENTS
Blue & White Fellowship – After stepshow on Friday - TBA
                                               
           NORTH CAROLINA STATE CONFERENCE
                      October 28 & 29, 2011 - Raleigh, North Carolina
                      Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

     2011 North Carolina State Conference Hotel Accommodations
                                           Brownstone Inn
                                         1707 Hillsborough St.
                                          Raleigh, NC 27605
                                         Phone: (919) 828-0811
                                          Fax: (919) 834-0904

The NEWLY RENOVATED BROWNSTONE INN provides quality service and a quality product that will make you and
guests feel extra special during their stay. They provide services such as:

                           Be Near It All at This Hotel's Raleigh, NC Location
Delivering genuine value to real people, the 100% non-smoking Holiday Inn® Raleigh - Brownstone
Downtown hotel's strategic downtown Raleigh, NC location aids guests in minimizing hassle and
maximizing comfort.
Be dazzled with the new 37in LCD TVs. With 15,000 sq ft of total event space, complimentary street-level
parking and on-site meeting planners, travelers requiring event facilities can host gatherings effortlessly,
while staying productive with free wired & wireless HSIA.

RESERVATION INFORMATION
The room rates are $79 / night for single or double plus state/local taxes.
Reservations may be made by calling the hotel directly at (919) 828-0811. A credit card is required
to guarantee a reservation. Guaranteed reservations are held until midnight on the day of arrival.
Rooms not cancelled by 6 pm on day of arrival will be charged to the individual’s credit
card.

RESERVATION CUT-OFF DATE
The cut-off date is October 10, 2011. Any rooms NOT reserved will be released for general sale and
reservations and the group rate will only be accepted on a space available basis. Please make plans to
reserve your room immediately. Starting October 11, 2011 the regular room rate will apply.

CHECK-IN/OUT TIME
Check-in time is 3 pm and checkout time is 11 am. For security reasons guests are required to
show a picture ID at check-in. Guests may establish credit within the Hotel with a valid credit card.
Room and tax are due in full at check in for guests without a credit card.
                                             
           NORTH CAROLINA STATE CONFERENCE
                     October 28 & 29, 2011 - Raleigh, North Carolina
                     Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

                2011 NC STATE CONFERENCE REGISTRATION FORM

Name: __________________________________Chapter: __________________

Mailing Address: __________________________________________________

City: __________________________________State: __________Zip:_______________

Telephone: (___) ________________________Email_______________________________

Status (Please check the appropriate box)
      Life Member
                                       National Officer:
      JTF Hall of Fame Member
      Alumni                           Regional Officer:
      Collegiate
                                       State Officer:
      Sigma Beta
      Delegate


Conference Registration Fees received on or before September 30, 2011)
  Alumni: $75.00
  Collegiate: $60.00
  Sigma Beta: $35.00
  NC License Plate application: FREE
  Additional Tickets:      Luncheon $35.00:

Total Enclosed ________________

A $10 late fee will be applied to the Registration Fee received after Sept. 30th through Oct. 14th.
A $25 late fee will be applied to all onsite registration.

Make checks payable to:             Phi Beta Sigma Fraternity, Inc.
                             MAIL Order Form and Check to:
                          Brother Robert McLean
                          2 Carver Rd.
                          Jacksonville, NC 28540
                                              
           NORTH CAROLINA STATE CONFERENCE
                      October 28 & 29, 2011 - Raleigh, North Carolina
                     Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


        2011 STATE CONFERENCE NC SIGMA ICON RECOGNITION FORM

Icon’s Name:                                  Chapter:
Mailing Address:
City:                                               State: __________Zip:
Telephone:                                        Email
Submitted By:                                        Submitting Bro. Phone #:

The NC Sigma Icon recognition is presented to a Brother in Phi Beta Sigma who resides in North Carolina
who has significant Sigma history on the local, regional or international level. The brothers recognized as a
NC Sigma Icon, will be permanently placed into North Carolina Phi Beta Sigma Fraternity, Inc. history for
posterity.

To qualify as a North Carolina Sigma Icon, candidates must meet one of the following criteria:
            50+ years within Phi Beta Sigma Fraternity, Inc.
            Member of the Distinguished Service Chapter
            30+ years within PBS and an elected officer on the international level
           *** Any Extraordinary Contriibution to the history of PBS will also be considered***

Provide a brief statement and summary of the Brother being considered for Icon Recognition:




Return by September 25, 2011 to:
Brother Wilbert Morris, Coordinator
4712 Hiddenbrook Dr.
Raleigh, NC 27609
Email: wraymorris@gmail.com
                                        
          NORTH CAROLINA STATE CONFERENCE
                   October 28 & 29, 2011 - Raleigh, North Carolina
                   Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


              2011 SOUVENIR JOURNAL ADVERTISING CONTRACT

Name:                                   Chapter:

Mailing Address:

City:                                        State: __________Zip:

Telephone:                                 Email



Check one: (Black and White ads only)
( ) Full Page- $100.00                                  ( ) One-quarter Page- $30.00
( ) One-half Page- $50.00                               ( ) Patron- $5.00 per Name
( ) Business Card Size Ad -$20.00


Notes:
      Payment MUST accompany contract and ads
      Ads MUST be in a WORD (.doc), GIF (.gif), JPEG (.jpeg) format, OR pdf FORMAT
      Ads MUST be the same size as the amount of space purchased (1/2 page, full page, etc.)
      Money Orders, Chapter, Personal or Certified Checks
      Include an additional $10.00 fee for ads which are not in an electronic format.
      Make checks payable to Phi Beta Sigma Fraternity, Inc.
      September 25, 2011 is the deadline for receipt of advertising contracts.

Amount Enclosed: $__________________________

Return payment, contract and Ad to:

                          Phi Beta Sigma Fraternity, Inc.
                          Attn. Brother Wilbert Morris
                          4712 Hiddenbrook Dr.
                          Raleigh, NC 27609
                          Email: wraymorris@gmail.com
MVR-27CC
(Rev. 12/03)                             North Carolina Division of Motor Vehicles
                                                3155 Mail Service Center
                                           Raleigh, North Carolina 27699-3155

              APPLICATION FOR A CIVIC CLUB LICENSE PLATE
           Remit a $20.00 check or money order with this application
                 I HEREBY CERTIFY THAT I AM A MEMBER OF THE PHI BETA SIGMA FRATERNITY, INC.
                   I WOULD LIKE TO MAKE APPLICATION FOR ONE OF THE SPECIAL LICENSE PLATES
                 Bearing the insignia of this organization.

     Signed


      □    Regular Civic Club $20.00



    The $20.00 special fee is an (ANNUAL) fee due in addition to the regular License plate fee.

                 Home                   NAME (To agree with certificate of title)


    AREA CODE-TELEPHONE NUMBER
                                               FIRST                           MIDDLE                      LAST


                                                                               ADDRESS

              Office/Cell
                                               CITY                            STATE                       ZIP CODE
                                         Current North Carolina
    AREA CODE-TELEPHONE NUMBER


                                             PLATE NUMBER                       VEHICLE INDENTIFICATION NUMBER




                                             PLATE NUMBER               YEAR         MODEL       MAKE          BODY STYLE


                                       Owner’s Certification of Liability Insurance
          I CERTIFY FOR THE MOTOR VEHICLE DESCRIBED ABOVE THAT I HAVE FINANCIAL RESPONSIBILITY AS REQUIRED BY LAW



                   PRINT OR TYPE FULL NAME OF INSURANCE COMPANY AUTHORIIZED IN NC – NOT AGENCY OR GROUP


                            POLICY NUMBER – IF POLICY NOT ISSUED, NAME OF AGENCY BINDING COVERAGE


                    SIGNATURE OF OWNER                                                        DATE OF CERTIFICATION



                       PLEASE FILL THIS AREA OUT COMPLETELY – THIS IS FOR SIGMA USE ONLY (NOT DMV)


Email Address:                                                                               PBS Card #:


Initiation Chapter Name:                                                         Initiation Date (Month & Date):
                                               
           NORTH CAROLINA STATE CONFERENCE
                      October 28 & 29, 2011 - Raleigh, North Carolina
                     Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605



           2011 STATE CONFERENCE CANDIDACY/NOMINATION FORM

Candidate Name:                                Chapter:

Mailing Address:

City:                                               State: __________Zip:

Telephone:                                        Email

Office Seeking:

Submitted By:

The duties and qualifications for State Officers are the same as set forth in the NC State Constitution of Phi
Beta Sigma Fraternity, Inc. Please submit this form and a resume by September 20, 2011 outlining service to
Sigma and professional experience. Any brother seeking candidacy must be financial nationally, regionally
and locally. Brothers nominated from the floor must be prepared to submit this form and requested
information to the Nomination/Election Coordinator.

Provide a brief statement and summary of experiences that qualify you to seek this position.




Return by September 25, 2011 to:
Brother Darryl Prince, Nominations Coordinator
103 Finley Circle
Winston Salem, NC 27127
Email: DPrince3@triad.rr.com
                                              
           NORTH CAROLINA STATE CONFERENCE
                     October 28 & 29, 2011 - Raleigh, North Carolina
                     Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


                 2011 ORATORICAL CONTEST REGISTRATION FORM

Name:                                         Chapter:

Mailing Address:

City:                                              State: __________Zip:

Telephone:                                       Email


Each Candidate must be a financial collegiate brother within the state of North Carolina. The winner of the
state oratorical contest will compete at the following regional contest.




Return by September 25, 2011 to:
Brother Wilbert Morris, Coordinator
4712 Hiddenbrook Dr.
Raleigh, NC 27609
Email: wraymorris@gmail.com
                                             
           NORTH CAROLINA STATE CONFERENCE
                     October 28 & 29, 2011 - Raleigh, North Carolina
                     Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


               2011 STATE CONFERENCE STEPSHOW COMPETITION
                            REGISTRATION FORM

Chapter Name:

Chapter Contact:

Mailing Address:

City:                                             State: __________Zip:

Telephone:                                      Email



The registration form must be returned by September 25, 2011. All team members must be financial
Nationally, Regionally, and locally to compete. Also, the chapter must be current on their State chapter
assessment to participate.




Return by September 25, 2011 to:
Brother Antwan Lee
1528 Grande Harmony Place
Cary, NC 27513
Email: mr_marquell@yahoo.com
                                              
           NORTH CAROLINA STATE CONFERENCE
                     October 28 & 29, 2011 - Raleigh, North Carolina
                     Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


        2011 STATE CONFERENCE SIGMA BETA SCHOLARS APPLICATION

Name:                                                                   Grade Level:
Chapter Name:
Mailing Address:
City:                                              State: __________Zip:
Telephone:                                       Email

Middle School Members Only:
          Were you on the A/B Honor Roll Last School Year?                       YES       NO
          Were you on the A Honor Roll Last School Year?                         YES       NO
High School Members Only:
What is your cumulative GPA?

The Sigma Scholar Award is designed to recognize those Sigma Beta Club members who exhibit the best in
academic achievement. The recognition of this award is based on the following criteria:
Middle School Members:
              A/B Honor Roll or A Honor Roll
High School Members:
              3.0-3.9 GPA (weighted) or 4.0 + GPA (weighted)
There will also be an award for the Sigma Beta Club member with the highest GPA.

Middle school applicants must submit a copy of their last report card. High school applicants must submit an
official transcript.



Return by September 25, 2011 to:
Brother James Brewer
1720 Old Saint Mark Road Apt7-3c
Burlington, NC 27215
Email: jbrewer1914@yahoo.com
                                                       
             NORTH CAROLINA STATE CONFERENCE
                          October 28 & 29, 2011 - Raleigh, North Carolina
                          Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

        2011 STATE CONFERENCE SIGMA BETA OF THE YEAR APPLICATION

Name:                                                  Classification:                               GPA:
Sponsoring Alumni Chapter:
Chapter Contact:
Chapter Mailing Address:
City:                                                         State: __________Zip:
Telephone:                                                 Email

Please list any positions held in the club, extracurricular activities, awards and honors. Also include any plans
for after high school: (attach additional sheet if needed)




Along with the application a portfolio must be completed . Your portfolio must include the following:
     Picture of the applicant
     Pictures of applicant in everyday life accompanied with descriptions. (family, friends, recreation, school)
     Pictures of various activities that the applicant takes part in with the Sigma Beta Club accompanied by descriptions.
     Pictures of various activities that the applicant takes part in other than the Sigma Beta Club accompanied by descriptions.
     500 word essay explaining why you would be the best recipient of this award.

                       Note: Your portfolio will be judged on neatness and creativity of the presentation.

Return by September 25, 2011 to:
Brother James Brewer
1720 Old Saint Mark Road Apt7-3c
Burlington, NC 27215
Email: jbrewer1914@yahoo.com
                                             
           NORTH CAROLINA STATE CONFERENCE
                     October 28 & 29, 2011 - Raleigh, North Carolina
                    Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


           2011 STATE CONFERENCE SIGMA SCHOLARS APPLICATION

Name:                                                                 GPA:

Chapter Name:

Mailing Address:

City:                                             State: __________Zip:

Telephone:                                      Email

The Sigma Scholar Award is designed to recognize those collegiates who exhibit the ideals of Phi Beta
Sigma Fraternity, Inc. through academic achievement. The recognition of this award is based on cumulative
GPA.




Return by September 25, 2011 to:
Brother Antwan Lee
1528 Grande Harmony Place
Cary, NC 27513
Email: mr_marquell@yahoo.com
                                           
          NORTH CAROLINA STATE CONFERENCE
                    October 28 & 29, 2011 - Raleigh, North Carolina
                    Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

 2011 STATE CONFERENCE ALUMNI BROTHER OF THE YEAR APPLICATION

Name:

Chapter Name:

Mailing Address:

City:                                           State: __________Zip:

Telephone:                                    Email

Submitted By:

***The brother must be financial to participate.***

Please give a brief explanation for the recommendation of Alumni Brother of the Year. This
explanation should include the brother’s contribution to Sigma within the past year:
(attach additional sheet if needed)




Return by September 25, 2011 to:
Brother Timothy Morgan
720 Weldon Lane
Salisbury, NC 28146
Email: eta_spr92@carolina.rr.com
                                            
          NORTH CAROLINA STATE CONFERENCE
                    October 28 & 29, 2011 - Raleigh, North Carolina
                    Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

        2011 STATE CONFERENCE COLLEGIATE BROTHER OF THE YEAR
                             APPLICATION

Name:

Chapter Name:

Mailing Address:

City:                                            State: __________Zip:

Telephone:                                    Email

Submitted By:

***The brother must be financial to participate.***

Please give a brief explanation for the recommendation of Collegiate Brother of the Year. This
explanation should include the brother’s contribution to Sigma within the past year:
(attach additional sheet if needed)




Return by September 25, 2011 to:
Brother Timothy Morgan
720 Weldon Lane
Salisbury, NC 28146
Email: eta_spr92@carolina.rr.com
                                           
          NORTH CAROLINA STATE CONFERENCE
                    October 28 & 29, 2011 - Raleigh, North Carolina
                    Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605


 2011 STATE CONFERENCE ALUMNI CHAPTER OF THE YEAR APPLICATION

Name:

Chapter Name:

Mailing Address:

City:                                           State: __________Zip:

Telephone:                                    Email

Submitted By:

***The chapter must be current on their State chapter assessment to participate.***

Please give a brief explanation for the recommendation of Alumni Chapter of the Year. This
explanation should include the chapter’s contribution to Sigma within the past year:
(attach additional sheet if needed)




Return by September 25, 2011 to:
Brother Timothy Morgan
720 Weldon Lane
Salisbury, NC 28146
Email: eta_spr92@carolina.rr.com
                                           
          NORTH CAROLINA STATE CONFERENCE
                    October 28 & 29, 2011 - Raleigh, North Carolina
                    Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

        2011 STATE CONFERENCE COLLEGIATE CHAPTER OF THE YEAR
                             APPLICATION

Name:

Chapter Name:

Mailing Address:

City:                                           State: __________Zip:

Telephone:                                    Email

Submitted By:

***The chapter must be current on their State chapter assessment to participate.***

Please give a brief explanation for the recommendation of Alumni Chapter of the Year. This
explanation should include the chapter’s contribution to Sigma within the past year:
(attach additional sheet if needed)




Return by September 25, 2011 to:
Brother Timothy Morgan
720 Weldon Lane
Salisbury, NC 28146
Email: eta_spr92@carolina.rr.com
                                           
          NORTH CAROLINA STATE CONFERENCE
                    October 28 & 29, 2011 - Raleigh, North Carolina
                    Brownstone Inn, 1707 Hillsborough St., Raleigh, NC 27605

    2011 STATE CONFERENCE CONSTITUTION/BY-LAWS CHANGES FORM
Name:

Chapter Name:

Mailing Address:

City:                                           State: __________Zip:

Telephone:                                    Email

Submitted By:

If this is an amendment change, please list the amendment and article. If this is a new amendment
please stipulate the rationale for the recommendation. Only one addition/change per form.
(attach additional sheet if needed)




Return by September 25, 2011 to:
Brother John Milner
100 Taunton Ct.
Garner, NC 27549
Email: jmilner1@bellsouth.net

				
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