Phi Epsilon Kappa Fraternity - R.R. Schreiber Distinguished Service Award Form

* Name of Qualifying Student

* Date

* College/University

* Chapter

* Email

* State

* Photograph

* Copy of Unofficial Transcript

* Letter of Recommendation

* Advisor Verification

I attest that the above student is a member in good standing and qualifies for the R.R. Schreiber Distinguished Service Award.

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