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Athletic Training By-Laws Chapters Charter Information Constitution Founding Officers Initiation Ritual Officers
Troy University Trojan Web Express Trojan WebMail Blackboard CHARTER INFORMATION
Iota Tau Alpha
Name of institution: ________________________________________
Address of institution: ______________________________________
_________________________________________________________
City State Zip
Program Director’s Name: ___________________________________
Program Director’s Ph: (wk) ________________ (hm) ______________ (c) _________
Program Director’s email: __________________________ Fax #: _________________
Date your institution chartered: ______/_______/_______
________________________Chapter: Date of initiation: ______/_______/_______
Initiates: (Please print clearly)
Name Email of initiate
1. ___________________________ ________________________________
2. ___________________________ ________________________________
3. ___________________________ ________________________________
4. ___________________________ ________________________________
5. ___________________________ ________________________________
6. ___________________________ ________________________________
7. ___________________________ ________________________________
8. ___________________________ ________________________________
9. ___________________________ ________________________________
10. __________________________ ________________________________
11. __________________________ ________________________________
12. __________________________ ________________________________
13. __________________________ ________________________________
14. __________________________ ________________________________
15. __________________________ ________________________________
16. __________________________ ________________________________
17. __________________________ ________________________________
v Fax to John H. Anderson at (334)670-3782 or email: athtrain@troy.edu
v A Greek letter or letters will be assigned to your Chapter _____________________________
v The letter or letters will be assigned by the National Office
v This form will be returned to the Program Director of the said institution petitioning
v Enclose a check made out to Iota Tau Alpha
Directions for ordering Certificates and Charter
Ø The Program Director will place the order for their said institution with American Speedy Printer Center of Auburn – Speedy Printing:
Address: Nick Cofield
University Crossing Shopping Center
1625 East University Drive; Suite 108
Auburn, Alabama 36820
(334) 887-3180 – Phone
(334) 887-3289 – Fax
Ø Cost of certificate with seal $2.00 (8 x 11) + $1.00 for the seal
Ø Cost of charter with seal $5.00 (11 x 17) + $1.00 for the seal
v Plus postage
Ø Note: for annual ordering of new certificates:
Ø Send a list of the new initiates to the National Headquarters annually – then place your order for the new initiates’ certificates with Speedy = (no new fees to National Office.)
Ø Remember when ordering new certificates make sure you include date of initiation and the Greek letter or letters assigned to chapter.
Ø You will pay Speedy Printing directly for all printing requests.
Questions or Comments may be directed to: iotataualpha@troy.edu
