Notes of Belonging - Share Your Story

Getting to Know You

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* 1. Contact Information

Name (First and Last)

Chapter of Initiation

Address

University/College Name

Collegian or Alumna

Email Address

Phone Number

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* 2. How has membership in Alpha Chi Omega supported your unique identities and experiences?

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* 3. What are ways you foster diversity and cultivate equitable and inclusive environments?

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* 4. How have you championed change and encouraged belonging since embracing membership in Alpha Chi Omega?

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* 5. Do you identify with any of the following History and Heritage Months and/or would you like to share your story?

Hispanic Heritage Month

Native American Heritage Month

Black History Month

Women’s History Month

Asian American and Pacific Islander Heritage Month

Pride Month

Other (please specify)

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* 6. Do you celebrate/observe any of the following Holidays and/or would you like to share your story?

Rosh Hashanah

Yom Kippur

Indigenous Peoples Day

Diwali

Thanksgiving

Bodhi Day

Hanukkah

Christmas

Kwanzaa

Lunar New Year

Ramadan

Holi

Passover

Vesak

Easter

Eid al-Fitr

Cinco de Mayo

Shavuot

Juneteenth

Eid al-Adha

Other (please specify)

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* 7. Select the following Alpha Chi Omega platforms you would be comfortable sharing your story on. Alpha Chi Omega reserves the right to determine the platform that is best to feature each story or photo.

Alpha Chi Omega Social Media (Instagram, Facebook, Twitter, etc.)

Alpha Chi Omega Blog

The Lyre

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