IB 372

7/06

(ES,PP)                                                                                                 

DELTA OMICRON

INTERNATIONAL MUSIC FRATERNITY

 

Academic Achievement Report

 

The Senior Honor Pin is awarded to the graduating senior with the highest three‑year cumulative grade point average, B or above. The recipient must be in good standing with the fraternity. (i.e., paid national dues or is a Life Member.) EXCEPTION: If the person with the highest average has not actively participated in the chapter, the pin may be awarded to the senior with the second highest average. The Senior Honor Pin may be awarded at the end of each term.

 

The Chapter Scholarship Chairman (President) obtains the information needed for this report. The school registrar, the Chapter Adviser, or the Faculty Sponsor may verify the recipient as the person with the highest grade point average for three years. Send this report to the Executive Secretary attached to the IB 364 payment form.  Include a check or money order payable to DELTA OMICRON FRATERNITY for the amount of the Senior Honor Pin.   Please allow 2 weeks processing time. Send a copy of this form to the Province President and retain a copy for your files.  Check the jewelry price list for the current year for the price of the Pin. Executive Secretary: Julie H. Wright, 910 Church St., Box 752, Jefferson City, TN 37760

 

 

CHAPTER _________________________ PROVINCE __________________ DATE ___________

 

NAME OF SCHOOL _______________________________________________________________

 

LOCATION OF SCHOOL ___________________________________________________________

 

NAME OF SCHOLARSHIP CHAIRMAN _________________________________________________

 

SCHOOL ADDRESS OF CHAIRMAN ___________________________________________________

 

State briefly your chapter's projects designed to promote high academic achievement in your chapter and/or your campus.

 

 

 

 

 

 

Give plans for presenting the Senior Honor Pin, if it is being awarded. (The pin must be given in order to qualify for the Scholarship Award.)

 

 

 

 

 

Give the name of the Senior Honor Pin recipient and list the other seniors:

 

_____________________________________________________________________________________________

         First                       Middle                                            Last

 

                    SENIOR NAMES                                          CUMULATIVE AVERAGE

                                                                                                 (if available)

 ____________________________________________           __________________

 

 ____________________________________________           __________________

 

 ____________________________________________            __________________

 

                                                                                                                              (continue on plain paper)