Program Manager/Assistant Manager Application

Hermano Name*

First NameLast Name

Email (@lambdas.com)*

example@lambdas.com

Phone Number*

Area CodePhone Number

Position Applying for?*

Chapter/Colony you want to be PM/APM for?*

Which Region is this Chapter/Colony in?*

How many potential candidates are trying to go through intake for the above chapter/colony ?*

Approx. #

Hermano Crossing Semester*

Hermano Crossing Year*

Ex: 2017

Hermano Status (Academic Year/Alumni)*

Financially Active? (dues paid prior to submission)*

UGs must have already paid Spring '25 dues to be approved. Alumni must be on payment plan.

Academically Active? (UGs Only)

Leadership Experience/Extracurricular Activities*

Are you available for all of the ceremony dates? (If not, please list in Black Out dates and explain why)*

Black Out Dates:*

List four Active Hermanos you can use for reference (2 Chapter members, 2 Non-Chapter members):*

Please include a letter of intent (500 Words), which should contain (1) why you should be chosen to lead this line? (2) What leadership qualities you bring to this line and (3) how you will perform your duties and responsibilities to the line. This can also include other information that you want the National Intake Committee to review when making their decision. (Upload your file below)*

Upload a File

Upload PM/APM Exam Certificate (must receive this prior to application)*

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I understand and acknowledge that the position of Process Manager/Assistant Process Manager is one of trust and great responsibility. I understand that I am being entrusted with upholding the integrity of Latino America Unida Lambda Alpha Upsilon Fraternity, Inc., and more importantly the safety and well-being of the candidates that have decided to undergo the Membership Process.

With this acknowledgement I confirm that:

I have attended a Risk Management & Intake Workshop conducted by the National Intake Officer or Chief Operations Officer (or authorized representative)
I have read and understand Latino America Unida Lambda Alpha Upsilon Fraternity,Inc.’s Anti- Hazing Policy
I have read and understand the pledging and Anti-Hazing policies of the school where I will be assigned as Membership Intake Coordinator.
I have read and understand the Hazing Laws (if applicable) in the state where I will be assigned as Membership Intake Coordinator.
I agree to abide by all policies/regulations/laws of Latino America Unida Lambda Alpha Upsilon Fraternity, Inc., the college/university and the State.
I understand and acknowledge that my failure to abide by these policies and regulations and/or the failure to maintain the safety of the candidates put in my care may subject me to civil and criminal liability/sanctions.
Completed the all sections of the applications to the best of my knowledge, and am aware that untruthful answered will cause the dismissal of my application

Acknowledgement*

I have understood and read the liability acknowledgment.

Attended Risk Management Workshop*

I affirm that I have attended Risk Management Workshop

Attended Intake Workshop*

I affirm that I have attended Intake Workshop

Signature

** The Electronic Signature eliminates paper use and expedites the overall application process. To submit electronic signature simply use the tool above to sign your full name above. Verify that all information is complete and accurate.

Process Manager/Assistant Process Manager Application

LIABILITY ACKNOWLEDGMENT