2026 Honors of Epsilon Pi Petition

STOP! Before completing this form, please be sure to have done the following: 1. Review the Honors of Epsilon Pi Handbook (found in Acorn) 2. Taken an inventory of all Honors jewelry your alumnae group or collegiate chapter has on hand. 3. Verified the nominee's Record of Service with International Headquarters All submissions must be submitted by 11:59 p.m. ET on December 1.

Section 1 - Record of Service Verification

All Records of Service must be verified by IHQ Staff before completing this nomination form. If you have not received an email confirmation verifying the Record of Service, please STOP and email honors@alphagammadelta.org to do so.

Have you verified the nominee's Record of Service with IHQ Staff? This must be done before you can complete this form. If the Record of Service was not verified, this petition will be considered invalid. For instructions, please refer to the Honors of Epsilon Pi Handbook.(Required)

Yes

Please enter the date the Record of Service was verified.(Required)

Use the date of the confirmation email you received from IHQ Staff.

Section 2: Potential Honoree Information

First Name:(Required)

Middle or Maiden Name:(Required)

Last Name:(Required)

Phonetic Spelling of Name: (How to properly pronounce at International Convention if the Honor is awarded) For example: Danielle Johnson would be written Dan-yell John-son)(Required)

Potential Recipient's Initiating Chapter(Required)

Potential Recipient's Initiation Year:(Required)

Please choose one of the following to complete this statement: I am petitioning for this individual on behalf of:(Required)

An Alumnae Chapter/Club

A Collegiate Chapter

A Collegiate House Association

the Volunteer Service Team Committee

the Foundation/FHC Board

an individual member of Alpha Gamma Delta

If you answered that you are providing this petition as an individual, please acknowledge you understand you will be responsible for the purchase cost of Honors of Epsilon Pi Jewelry if the Honor is awarded.(Required)

I agree to pay for the jewelry

Not applicable

Other

Name of Petitioning Group (Alumnae Group, Collegiate Chapter, VST Committee, etc.) or Member:(Required)

If petitioning for a Volunteer Service Team Member or as an individual member of Alpha Gamma Delta, please provide the name of the Alumnae Group, Collegiate Chapter or VST Committee who will perform the Lighting of the Tapers Service if the member is not attending International Convention.(Required)

What type of Honor is the Petition For?(Required)

Does the alumna currently wear an Honor?(Required)

Yes

Which Honor does the alumna currently wear?(Required)

What year was the Honor Awarded?(Required)

If this alumna receives this Honor, does your alumnae group or collegiate chapter have the Honor in stock and will it be available to bring to International Convention to be awarded to the recipient and/or given at a Lighting of the Tapers Service?(Required)

If you are unsure, please stop and verify inventory before continuing.

Yes

Does the alumna wear a silver or gold Badge?(Required)

If you are unsure, please verify this before continuing with the petition. The Badge color should be noted on the Record of Service Form.

Gold

Silver

SECTION TWO: Full Details of Fraternity Service Rendered by the Alumna

Please list offices held and dates in chronological order from newest to oldest. If the alumna has received a previous Honor, only service following receipt of that Honor should be listed. Reminder: Service can be continuous or cumulative - any break in service does not disqualify a member from being eligible to receive an Honor. All start/end dates should be entered as MM/DD/YYYY.(Required)

Volunteer Role Title

Start Date (MM/DD/YYYY)

End Date (MM/DD/YYYY)

Total # years

DESCRIPTIVE EXPLANATION:

It is the responsibility of the party submitting the petition to provide information showing dedication and exemplary service to a chapter, club and/or the Fraternity.

Faithful and Outstanding Service

• Faithful is how the member has fulfilled all the duties of her assigned/elected positions. • Outstanding service is what truly gives meaning to the words “Honor of Epsilon Pi.” Outstanding means the member went above what was required of her.

Describe at least 3 specific situations of the greatest contributions this member has made to her role(s) in the chapter/club or the Fraternity that sets her apart from other volunteers. These situations should describe how this member has gone above and beyond the normal expectations of her role.

Example One:

Example Two

Example Three

If Petitioning for a Crescent, please explain how this member has impacted the broader Fraternity.

If you need more room to answer the previous question, you may continue here:

PETITIONER/PETITIONING GROUP CONTACT INFORMATION AND SIGNATURES

Name of Petitioner for follow-up inquires:(Required)

Role/Title

For example, Alumnae Chapter President, Chapter Advisor, Individual Member, etc.

Preferred Phone Number:(Required)

Email Address:(Required)

SIGNATURES

REMINDER: No nominee may sign her own petition. Entering the information below will qualify as an electronic signature. Alumnae Chapter/Club: President and Treasurer If an officer who should sign the petition is being nominated, another officer signs in her place. The Vice President is the recommended choice. Collegiate Chapter: Chapter Advisor and Chapter President. If the Chapter Advisor is being nominated, another advisor signs in her place. VST member: Supervisor of the member being petitioned. Foundation or FHC Board: Secretary signature required, unless being nominated, then another officer may sign. Individual Member: Sign below.

Signature 1(Required)

Entering the name here signifies a digital signature.

Signer Name Title Date

Signature 2

Entering a name signifies a digital signature.

Signer Name Title Date