I certify that to the best of my knowledge all the information provided with this application is
accurate and that the applicant is in good standing (academic and financial) with the Gamma
Upsilon chapter of Alpha Chi Omega.
Signature of an Alpha Chi Omega advisor: __________________________________________
Name (printed): ________________________ Phone number: __________________________
Please attach the following materials:
1) your completed application,
2) a one page letter of recommendation from an Alpha Chi Omega advisor or another
individual familiar with your leadership experience (teacher, professor, clergy member,
employer, non-AXO advisor, or personal friend)
3) and academic transcript(s).
Scholarship materials should be returned by April 18, 2014 to:
The University of Houston Alumni Association
Attn: Alpha Chi Omega Scholarship
P.O. Box 230345
Houston, Texas 77223-0345
Tel: 713-743-9550
Fax: 713-743-9560
alumni@uh.edu