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Kappa Psi Pharmaceutical Fraternity, Inc.

Chapter Forms

The various forms used by both the Collegiate and Graduate Chapters.

Chapter Minutes Page (Form-A) PDF Form
Membership Form (Form-M) M-Card
Must be filled out on-line.

Go to Chapter Website to complete a new M-Card

Pledge Card (Form-P)
(Can be printed on 3 x 5 card stock.)
Keep for your records, Central Office does NOT need copy.
RTF Form
Chapter's Activity Report Form
(One page form to let The Central Office know what you are doing).
HTML
Chapter's History Report Form
(
Short form to help the Grand Historian keep the Fraternities' History up to date).
Send "XLS" as an attachment.
Excel Form.XLSX
Chapter Link to Grand Historian Excel Form.XLSX
Chapter Membership Roster
(Includes name, permanent home address (NOT SCHOOL ADDRESS), date of birth & graduation year.) Send as an attachment.
Excel Form.XLS
Chapter Officer Addresses
(Address during the school year, not permanent address. Submitted twice yearly.)
Send "XLS" as an attachment.
Excel Form.XLS
Faculty Members Roster
(A listing of the faculty members who are Kappa Psi brothers.)
Send "XLS" as an attachment.
Excel Form.XLS
Chapter Progress Report Form Letter
Information and Instruction letter from the Chapter Awards Committee Chair concerning the Chapter Progress Form
PRF Awards Letter (2017-PDF)
Chapter Progress Report Form
(May be submitted electronically to the Chapter Awards Committee Chair to be eligible for either the Outstanding Chapter Award or Most Improved Chapter Award. by May 15th)
(The Dean's and GCD's Evaluation of the Chapter must be snail-mailed to the Chapter Awards Committee Chair.)
Chapter Progress Report Form (2017). XLSX
Deans' Evaluation - Chapter's Progress Report Form
(Send "XLS" via snail-mail to the Chapter Awards Committee Chair, as it must be signed.)
Dean's Evaluation .XLS
GCD'S Evaluation - Chapter's Progress Report Form
(Send "XLS" via snail-mail to the Chapter Awards Committee Chair, as it must be signed.)
GCD's Evaluation XLS
Graduate Addresses for The MASK
Excel form. (The address where the new graduate will receive The MASK.)
Email to: centraloffice@kappapsi.org
Excel Form.XLS
Frank H. Eby Award Information
2014 Graduate Chapter Innovative Award Form DOCX form
2015 Graduate Chapter of the Year Form Excel Form.XLS
Graduate Referral Form Google Doc
Grand Council Deputy Awards Information DOC Letter
Grand Council Deputy Excellence Award
Must be snail-mailed.
Excel Form.XLS
Herff Jones Jewelry Order Form Web link
Kalamazoo Regalia Order Form Order Form
Leadership Faculty Verification Form DOCX
Request for Awards
(
Letters of recommendation, orders of Silver & Gold Mortar, Asklepios Key, & more)
Award-Requests
Ritual Checklist Form Checklist.PDF
Risk Management Verification Form DOCX
GCD Verification Form DOCX

The Central Office
Kappa Psi Pharmaceutical Fraternity

2060 N Collins Blvd. Suite 128
Richardson, TX 75080-2657

Updated: 07-18-2016