Alpha Kappa Alpha, Inc.

Members Only Contacting the Regional Director NAR Registration Finance Policy 2018-2019 Awards Handbook 2018 87th North Atlantic Regional Conference Minutes Conference Online Registration Sponsorship Ivy Supporter Technology Chairman NAR Graduate Advisors and Basilei NAR Forms IBTW Resolution Request Form General Assistance Form

IBTW Resolution Request Form

Name of IBTW *

Date of Birth *

City of Birth *

State of Birth *

Year of Initiation *

Chapter Initiated *

Last Active Chapter *

Date Became IBTW *

IBTW Ceremony Date *

Location of Ceremony *

Alpha Kappa Alpha Offices Held

Alpha Kappa Alpha Committees Chaired

Other Accomplishments

Professional Background & Accomplishments

Family Background (please ensure correct spellings)

Name of Person Completing Form *

Email of Person Completing Form *

Phone of Person Completing Form *

Name of Family Contact *

Phone of Family Contact *

Cluster to Receive Notification *

* denotes required field