Undergraduate Interfraternity Institute Registration Waiver Application The North American Interfraternity Conference (NIC) serves to advocate the

needs of its member fraternities through enrichment of the fraternity experience; advancement and growth of the fraternity community; and enhancement of the educational mission of the host institutions. The Undergraduate Interfraternity Institute (UIFI) is a five day co-educational program that brings fraternity and sorority leaders together and teaches leadership skills, creates awareness of important issues, and calls on each graduate of the program to lead a change initiative within his/her fraternity/sorority community. This scholarship covers the UIFI registration fee of $525 for the program. Travel expenses are not included, as you will be responsible for covering those costs. The following inter/national organizations also offer scholarship funds for their members in 2012. Alpha Epsilon Pi Alpha Phi Alpha Chi Omega Delta Gamma Delta Zeta Kappa Alpha Order Phi Kappa Psi Pi Kappa Phi Sigma Phi Epsilon Sigma Pi Triangle

UIFI will be held on the campus of Indiana University in Bloomington, Indiana. Please take the time to review the following dates to make a decision on your session preferences. Session 1: May 16-20 Session 2: May 19-23 Session 3: June 2-6 Session 4: June 6-10 Session 5: June 9-13 Session 6: June 13-17 Please visit the NIC website for more information regarding your attendance at UIFI at http://www.nicindy.org/programs/UIFI/. Session 7: June 20-24 Session 8: July 7-11 Session 9: July 11-15 Session 10: July 18-22 Session 11: July 25-29

Undergraduate Interfraternity Institute Registration Waiver Application

A completed application must be submitted to the Center for Leadership and Fraternity & Sorority Life by Friday, April 13, 2012. Please type or print in dark ink and be sure to save a copy of your application for your records. A completed application consists of: 1. This form, filled out completely and signed by applicant; 2. (Optional) A letter of recommendation from a Chapter advisor, professor, or counselor;

1. _ Last name 2. __________________ People Soft ID 3. _ Email address

First name

Middle name

___________________ Chapter

4. _ (____)______________ Local/campus address (include street, city, state, and zip code) Telephone 5. _ Permanent address (include street, city, state, and zip code) 6. _ Major(s) 7. _ Number of semesters completed 8. _ Current class standing 9. _ Anticipated date of graduation _ Minor(s) ___________________ Cumulative GPA ___________________ Previous semester GPA (____)______________ Telephone

10. Leadership and Involvement: Please respond to each section including the respective term
of office; feel free to attach a separate sheet of paper if more room is needed.

a. Chapter Leadership Positions/Involvement: i. _ ii. _ iii. _ b. Campus and Community Leadership Positions/Involvement: i. _ ii. _ iii. _ c. Chapter/Campus Leadership Roles you plan to hold in the future: i. _ ii. _ iii. _ 11. Goals and Expectations: Please type a response to the question below on a separate sheet of
paper.

a. UIFI calls on each graduate of the program to lead a change initiative within his/her fraternity/sorority. What do you believe you will gain from your experience at UIFI? How will you use this to benefit and improve your Chapter and Campus? Please visit the NIC website at www.nicindy.org for more
information regarding UIFI.

12. Session Dates: Please take the time to review the following dates to make a decision on your session preferences. Rank the sessions in order of your most desired (1) to least desired (11). Each session has only a limited number of openings so it is important for you to do this accordingly. ____ Session 1: May 16-20 ____Session 2: May 19-23 ____Session 3: June 2-6 ____Session 4: June 6-10 ____Session 5: June 9-13 ____Session 6: June 13-17 ____Session 7: June 20-24 ____Session 8: July 7-11 ____Session 9: July 11-15 ____Session 10: July 18-22 ____Session 11: July 25-29 By applying for the UIFI Scholarship, you are agreeing to let the Center for Leadership and Fraternity & Sorority Life verify all information stated in this application.

_ Applicant signature

_ Date signed

I understand that it is a privilege to be able to attend UIFI, and that student fee dollars will be used to fund my registration. Should I be accepted to attend and be unable to fulfill my commitment, I will notify the Center for Leadership and Fraternity & Sorority Life as soon as possible. Should they not be able to fill my spot, I understand that I will be responsible for reimbursing to them the cost of my registration, valued at $525. _ Applicant signature _ Date signed