Alpha Gamma Rho

Strategic Planning Session Request Form

Flight arrangements will be made based on the schedule selected below. Any cancellations must be made five or more days in advance. Any cancellation or change fees will be billed back to the chapter.

It is up to the chapter to make reservations for Zane Akins nearby, preferably with an alumnus, and provide transportation, if possible.
There must be close to an equal number of undergraduate leaders and alumni representatives (minimum of five with no maximum).

Chapter:

University:

Contact Name:
PrefixFirstMiddleLastMaidenSuffix

Phone Number:
Country(###)#######xExtension

Email Address:

Schedule (pick one):
Friday evening 5-9 p.m - Saturday 8:30-5:30 p.m.
Saturday 8:30-5:30 p.m. - Sunday 8-noon
Weekdays noon to noon

Dates:

Room accommodations (alumnus or hotel):

Room reservations made for nights of:

Phone Number for accommodations:
Country(###)#######xExtension

Confirmation #:

Address:
Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Transportation provided?:
Yes
No

If yes, contact name:
PrefixFirstMiddleLastMaidenSuffix

Phone Number:
Country(###)#######xExtension

Email Address:

Names and offices of alumni participants (minimum 5):

Names and offices of collegiate participants (minimum 5):

Meeting space provided (choose all that apply):
Open U table set-up with chairs on the outside
Screen and overhead projector
Flip charts (2) on easels, markers and masking tap
Computer access with PowerPoint
Lunch and/or dinner catered or selected in advance
Writing paper for attendees and index cards for nametags

Strategic Planning Session Request Form