Clemson University Online Forms

NPHC Notice of Membership Intake

This form must be submitted online 5 business days prior to the first information/interest meeting.

* Denotes a required field

Organization *

Interest Meeting Dates (if holding more than one, please list all dates) *

If applicable, please list Chapter Interview dates.

Chapter Selection of New Members will conclude on: *

/ / (mm/dd/yyyy)

Education period start date *

/ / (mm/dd/yyyy)

Education period end date *

/ / (mm/dd/yyyy)

Aspirants will be initiated on *

/ / (mm/dd/yyyy)

New Members will be presented on *

/ / (mm/dd/yyyy)

The person in charge of intake for the Chapter will be:

Name of Person *

Position within chapter *

Phone Number *

Email Address *

The Chapter Advisor supervising intake for the Chapter will be:

Chapter Advisor's Name *

Sponsoring Graduate Chapter *

Phone Number *

Email Address *

Electronic Signature - I agree that the above information is correct and understand that by typing my name in the box below I agree to uphold all Clemson University and Inter/National Headquarters policies. *

I understand that in order for this form to be complete, I must email a list of new members containing the following information: Full name, CUID, whether or not they attended Convocation, whether or not they have completed Academic/Hazing form, and GPA. *

I understand