Alpha Member Survey

Name:

Email Address:

Chapter:

Year in School:

Have you talked to anyone about your intentions? Would it be helpful to take time to talk this through with another member/officer/advisor?

Yes, and I would like to talk further

Yes, and I would not like to talk further

No, and I would like to talk further

No, and I would not like to talk further

What is your reason for discontinuing your Alpha membership with Alpha Delta Pi?

What was the main reason you chose ADPi during Primary or Continuous Open Recruitment?

Select any factors that contributed to your decision to discontinue your Alpha membership:

Please share any additional feedback regarding the discontinuation of your Alpha membership:

Would you like to be contacted by a Chapter Support Coordinator?

Yes

No

Alpha Delta Pi Foundation Awards Grants to Seven Local Ronald McDonald House Charities Chapters