Grand Lodge of Theta Delta Chi 2026 Individual Award Nomination Form

All applicants and nominators agree to allow the Central Fraternity Office to use any part of this application in the recognition of the Nominee, including but not limited to speeches at Convention, newsletters, the Shield, www.tdx.org, and mytdx.org. All applications and supporting materials should be submitted to John Lowry glstaff@tdx.org at the Central Fraternity Office by July 1, 2026.

Nominee Name:
Is the nominee an undergraduate or alumni?


Award:




Charge and Delegation:
How has this individual embodied the mission of the Fraternity
What leadership positions has this person held over the previous year, both within Theta Delta Chi, the host institution, and the community?
What significant contribution has this individual made to Theta Delta Chi, their College/University, or community?
Why do you feel this person is deserving of recognition from Theta Delta Chi?
Will this individual be present at the Convention?
Supporting materials for information referenced in the application are also encouraged. Please attach additional supporting docs here. (Not Required)
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Nominator Information
Name:
Charge (If Applicable):
Cell Number:
Email Address: