I hereby certify that:
- I am a collegiate or alumni chapter president of a chapter in the South Central Province or a member selected by the chapter to serves as delegate.
- (For alumni chapter delegates only) I live in, and are returning to, the locality in which the chapter is situated as a member of that chapter.
- I am in good standing with both my chapter and the National Fraternity and am able to represent my chapter as an official delegate or alternate delegate to the Provincial Council.
- My chapter is in good standing regarding both financial and disciplinary status and (for alumni chapters only) my alumni chapter was fully franchised for the 2021-2022 fiscal year by June 30.
- I understand that knowingly providing false information about my membership status or chapter status may subject me to individual discipline according to Fraternity policy.
Reference: Bylaws Article VII, Section 3; Bylaws Article IX, Section 6; Bylaws Article XI, Section 7; Policies Q.1.