EmailMe Form - Induction List and Invoice Request Submission Form

READ THIS INFORMATION BEFORE COMPLETING FORM:

1. Only the Chapter Faculty Advisor may use this form AFTER receiving the official Charter Certificate from the UAA Executive Office.

2. Have your Charter Certificate on-hand to complete certiticate-specific form items below.

3. You will be asked to provide the names of all new eligible candidates to be inducted into your local chapter of Upsilon Sigma. Student information includes first name, last name, email address, and degree level (Bachelor, Master, or Doctoral)

4. You will be asked to provide the name and contact information of the invoice recipient. This is the person who will be responsible for processing the online credit card payment for the required inductees' fees. Reminder: The inductee fee for each student is $36. The invoice will be sent to the invoice recipient within 2 business days for payment processing, once this form has been submitted.

Upsilon Sigma Chapter Information (as listed on your Charter Certificate)

Chapter Name (exactly as listed on your Charter Certificate.) *

Chapter Number (exactly as listed on your Charter Certificate.) *

New Student Induction List

Use our spreadsheet template (see below for URL) to upload your induction list.

Honor Society Induction List Spreadsheet Template:
(copy and paste URL into web browser address field):
https://docs.google.com/spreadsheets/d/13XGz3PwY1vwMK0l9gzlsQ4S2o9IBkKtXWQxGEl4q4wI/edit#gid=1211892093

Upload new student inductees' information: 1) First name; 2) Last name; 3) email address; and 4) degree level (Bachelor, Master, or Doctoral) *

Accepted Formats: Microsoft Word OR Excel
Maximum size file: 1GB or 1024 KB

Total Number of New Inductees *

Reminder: The inductee fee for each student is $35 + $1 credit card processing fee.

Date of Planned Induction *

MM / DD / YYYY

Shipping Information for Student Certificates

Name of Recipient *

First Last

Shipping Street Address *

Shipping Address Line 2

Shipping City *

Shipping State/Province/Region *

Shipping Zip or Regional Code *

Shipping Country *

Invoice Recipient

Please provide us with the name and contact information of the person who should receive the electronic invoice to process the online credit card payment.

Name of Invoice Recipient *

First Last

Job Title of of Invoice Recipient *

Email of Invoice Recipient *

Phone of of Invoice Recipient *

Faculty Advisor

You will receive a copy of this form for your record, after submission.

Name of Faculty Advisor *

First Last

Email of Faculty Advisor *

Phone of Faculty Advisor *

Review information above for accuracy.

After you submit the form, we will send the invoice for payment processing to the individual listed above within 2 business days. All payments must be made via credit card or ACH.

Important: You will not be able to return to this page after you click the "SUBMIT NOW!" button below.

Click "SUBMIT NOW" to complete.

READ THIS INFORMATION BEFORE COMPLETING FORM:

Upsilon Sigma Chapter Information (as listed on your Charter Certificate)

New Student Induction List Use our spreadsheet template (see below for URL) to upload your induction list.

Shipping Information for Student Certificates

Invoice Recipient

Faculty Advisor

New Student Induction List

Use our spreadsheet template (see below for URL) to upload your induction list.