PLEDGE REPORT FORM

I understand that before my form can be processed by the National Office, my Chapter Advisor must sign off on the below section titled "CHAPTER ADVISOR". *
I understand that even though this form WILL go through without my Chapter Advisors signature, I am still required to have my CA sign this portion and submit in order for our Pledge Report Form to be processed. *

COMPLETED BY CHAPTER ADVISOR

As Chapter Advisor, I certify that the individuals listed on the following pages meet the Professional Qualifications of the Alpha Chi Sigma Fraternity.
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