NU PHI OMICRON, INC.

SUGGEST A CHAPTER FORM

Your First Name

Your Last Name

Email

Phone

Do you want to suggest a new chapter or reinstate an inactive chapter?

New Chapter

Reinstate Inactive Chapter

Provide the name and address of the college/university you are requested the chapter for.

I acknowledge that this interest form serves only as an expression of interest, and the decision to approve a new or reinstated chapter is solely determined by the National Council.

Agree

Disagree