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SOROR CONCERN FORM

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ALPHA KAPPA ALPHA SORORITY, INCORPORATED®

Psi Psi Omega Chapter

SOROR CONCERN FORM

Please complete all sections prior to submitting to the Member at Large Chair

All Details remain CONFIDENTIAL Concerns will be acknowledged within 5 working day of receipt and a resolution within 30 working days * If concern is related to the chapter Basileus an alternate Soror will be appointed to address concerns submitted.

SOROR CONCERN FORM

CONCERN DETAILS

WITNESS DETAILS (if applicable)

CONCERN OUTCOME:

As a result of making this concern, is there any outcome you would like?

MITIGATION DETAILS

MITIGATION DETAILS

OFFICER

Concern Shared

Thanks for submitting!

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