I hereby affirm that hazing or any other associate member activities as defined in the "Statement of Position on the Hazing and Pre-initiation Activities" and Article XIII, Section 6. Revocation of Charters, sub-section a), paragraph six of the National Constitution*, does not exist at my chapter. Also, I will never allow or condone such activities.

I also affirm, that the chapter officers listed below have read and agreed to the form and understand their liability in a Hazing situation.

*a) Active Chapter Charters may be revoked for cause at any meeting of the International Convention by a two-thirds (2/3) vote of all members present at the Convention, where such chapter is found guilty, after a hearing of any of the following:

During Associate Member Education, any action taken or situation created, intentionally, whether on or offfraternity premises, to produce or risk producing mental or physical abuse, embarrassment, harassment,or ridicule for any Associate Member(s).

I have read and agree to the above. *
Your Name *
Your Name