March 17-20, 2022 Little Rock Marriott 3 Statehouse Plaza Little Rock, AR 72201 1-877-759-6290 - Southwestern Region ...

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70th Southwestern Regional Conference
                                           March 17-20, 2022
                                           Little Rock Marriott
                                             3 Statehouse Plaza
                                           Little Rock, AR 72201
                                               1-877-759-6290

Greetings Brothers, Chapters, and Guests:

We are so excited and looking forward to seeing you during the 70th Southwestern Regional Conference, March
17-20, 2022 in Little Rock, Arkansas! The Regional Board, Conference Planning Team, and the Host Chapters
Mu Beta Sigma and Lambda Gamma Sigma are eagerly working to assure that members and chapters will enjoy
their conference experience. I encourage all chapter advisors and chapter presidents to review the entire kit with
your executive boards to assure that each member is aware of submission deadlines and registration timelines.

This year over sixty-five chapters from Arkansas, Kansas, Missouri, Nebraska, Oklahoma, and Tennessee will
convene to absorb the information and training provided at the regional conference to ensure a successful program
year in their local chapters. We will have an opportunity to delve into how to best promote our programs through
outreach, stakeholder engagement, and efficient utilization of our resources. We will maximize our time for
training because our MIP Certification is now in our Sigma LMS.

We will once again host our most popular events: The Visual Art Competition, STEM Competition, Debate
Competition, Oratorical Competition, Regional Greek Show plus the Southwestern Regional Miss Phi Beta Sigma
Pageant. The Greek Show this year is open to alumni and collegiate chapters. We will also have the Regional
Director’s Gala on Saturday night where we will install our elected officers and recognize several community
leaders. Be on the lookout for the theme for the Regional Director’s Gala.

The room rates at the Little Rock Marriott are $139.00 plus tax for single and double rooms. Make your
reservations early to secure the conference room rate. For additional information regarding room reservations,
you may contact the hotel at 1-877-759-6290. Last day to confirm your room for the conference is February 23,
2022. Please contact Bro. Jourdon Morgan at avip4u@prodigy.net with hotel questions.

Brothers, as you all aware, our current COVID-19 policy requires proof of vaccination to attend. We will open
the portal for brothers to upload proof of vaccination (POV) soon. When it is open, an email will go out to the
brotherhood.

In the Spirit of Brotherhood,

Bro. Michael L. Murry
22nd Southwestern Regional Director
Director22@pbssouthwestern.org

               Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                                1
70th Southwestern Regional Conference
                                               March 17-20, 2022
                                               Little Rock Marriott
                                                 3 Statehouse Plaza
                                               Little Rock, AR 72201
                                                   1-877-759-6290
                       Early Bird Registration (Postmarked on or by January 15, 2022)
                      Collegiate $165.00       Alumni $225.00      National Officer $150.00
                                                         th
          Pre-Registration (Postmarked from January 16 -January 31, 2022) Life Members until 1/31
                      Collegiate $165.00       Alumni $265.00      National Officer $150.00
                         Registration (Postmarked from February 1st – February 19th)
                    Collegiate $165.00       Alumni $305.00       National Officer $150.00
                Southwestern Regional DSC get the Early Bird Rate through February 19,2022
                                               Regional DSC Member $225.00
               Spring 2022 Initiates will get the Early Bird Rate and must be mailed in after 1/15/2022
                        Personal Information/ Fill out completely for all registrants

               Name 
  Street Address | City | ST | Zip 
  Telephone Home | Work | Cell 
          E-Mail Address 
              Chapter 
           Membership # 

  What size shirt do you wear?        NA this Year

           Life Member                   Platinum                   Sapphire                  Gold

             National Officer              Regional Officer       Chapter Advisor           DSC               Guest

  Payment Method (to the Order of Phi Beta Sigma Fraternity, Inc. SW Region – NO CASH will be accepted for registration)
      Certified Check           Cashier’s Check          Money Order         Personal Check
                                                                           (Pre-Registration Only…through 1-15-22)

                                         Return this form and Payment to:
                                        Michael Beverly, Regional Treasurer
                                          Michaelbeverly22@gmail.com
                                                 P.O. Box 241272
                                                Omaha, NE 68124
                                Online payments: www.pbssouthwestern.org/conferences.htm

Signature:                                                                      Date:

                Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                                           2
70th Southwestern Regional Conference

                      ADVERTISING AGREEMENT AND SUBMISSION FORM
                           Deadline for all advertisement submissions is February 20, 2022.

          Full Page--------------------------------- $150.00

          Half Page -------------------------------- $100.00
                                                                                                Full Page
          Quarter Page ---------------------------- $60.00

          Eighth Page/Business Card ----------- $30.00
                                                                                         1
          Patrons ----------------------------------- $15.00                             2
                                                                                                              1
    (The following are Available on First Come Basis Only)                                                    4
         Outside Back Cover --------------------$450.00
         Inside Front Cover --------------------- $375.00                                                           1
         Inside Back Cover --------------------- $375.00                                                            8

     Advertiser must provide camera-ready copy and photograph, if not already included in design. Advertiser will be billed
         $25.00 for any production incurred in the preparation of their ad if the above requirements are not followed.

Amount Enclosed                                                        Size of Ad Selected 
Name of Chapter or Company 
Address, City, State & Zip 
 Telephone                                            Email 
Name of Person Authorizing Ad                                           Signature 
    By signing you are authorizing the Southwestern Region to insert the attached advertisement as indicated below in the
                                 2022 Southwestern Regional Conference Souvenir Journal.

                           PAYMENTS CAN BE MAILED WITH AD AND/OR PATRON FORM TO:
                                            Phi Beta Sigma Fraternity, Inc.
                                   Jourdon Morgan, Jr., Regional Conference Planner
                                                   P.O. BOX 78306
                                                 St. Louis, MO 63178

     Payments Accepted: Cashier’s Check, Certified Check, Money Orders, or Cash App $PBSSWRegion Made Payable To:
                                               Phi Beta Sigma Fraternity, Inc.
                                                            OR
                                             EMAIL TO: avip4u@prodigy.net
                                                           AND
                               PAY ONLINE AT: www.pbssouthwestern.org/conferences.htm

       Phi Beta Sigma Fraternity, Inc. and members of its Regions or Chapters shall not be liable for misspelled words, inaccurate
                              information or grammar in any advertisements submitted and/or published.

                   Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                                                     3
70th Southwestern Regional Conference

                                       STEPSHOW
                                           March 18, 2022
On Friday, March 18th at 7:30 p.m., the 2022 Regional Conference Step Show will be held during the
Conference. Collegiate and Alumni Chapters will have an opportunity to win $2000 (1st Place), $500 (2nd Place
- Collegiate) and be declared the undisputed Southwestern Regional Step Champions for 2022.
                                           ***IMPORTANT***
Please note that each Brother participating in the step show must be a registered conference attendant.
The following are the rules and criteria that each chapter/ organization will be judged:
                                           RULES AND REGULATIONS

   I.   SHOW TIME IS LIMITED TO 12 MINUTES: THIS INCLUDES AISLE SHOW AND STAGE SHOW.

   II. PLEASE REFRAIN FROM VULGARITY, PROFANITY, VIOLENCE, AND OBSCENITIES.

   III. EACH CHAPTER MUST DESIGNATE A MEMBER TO ASSIST THE SOUND TECH. THE DESIGNEE MUST BE
        AVAILABLE 15 MINUTES PRIOR TO AND DURING THE CHAPTER SHOW TIME TO INSTRUCT THE SOUND
        TECH WHEN TO BEGIN, PAUSE AND END APPLICABLE MUSIC.

   IV. EACH CHAPTER MUST HAVE 3 OR MORE PARTICIPANTS.

   V. THERE WILL BE A PANEL OF JUDGES. ALL JUDGES WILL BE ASKED TO SIGN THEIR SCORE SHEETS TO
      ENSURE ACCOUNTABILITY. THE SCORES WILL BE AUDITED AND AVAILABLE TO A REPRESENTATIVE OF
      EACH CHAPTER IF THERE IS A DISPUTE.

   VI. JUDGEMENT CRITERIA FOR PERFORMANCES IS AS FOLLOWS:
          A. DIFFICULTY / COMPLEXITY – 20 PTS
          B. APPEARANCE – 20 PTS
          C. CREATIVITY & THEME – 20 PTS
          D. CONSISTENCY / SYNCHRONIZATION – 20 PTS
          E. OVERALL PERFORMANCE: CROWD PARTICIPATION, STEPPING ABILITY, CHANTING, etc. – 20 PTS

   VII. IN A CASE OF A TIE, THE HIGHEST SCORE OF THE FOLLOWING WILL DICTATE THE WINNER IN ORDER OF
        PRECEDENCE:
            A. OVERALL PERFORMANCE
            B. DIFFICULTY / COMPLEXITY
            C. CONSISTENCY / SYNCHRONIZATION
            D. APPEARANCE
            E. CREATIVITY & THEME
               a. Example: With a combined tie score of 593 and Team 1 has a 68 while Team 2 has a 79 for OVERALL
                  PERFORMANCE, Team 2 will win the contest. However, DIFFICULITY / COMPLEXITY will decide the
                  winner if both teams have the same OVERALL PERFORMANCE score. Then so on and so forth.
            F. ONE STEP – STEP OFF

NOTE:               ANY CHAPTER THAT VIOLATES RULES I-III WILL BE DISQUALIFIED.
                        We look forward to seeing your chapter compete in Little Rock!

               Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                               4
70th Southwestern Regional Conference
                                            March 17-20, 2022
                                            Little Rock Marriott
                                              3 Statehouse Plaza
                                            Little Rock, AR 72201
                                                1-877-759-6290

                                 STEP SHOW REGISTRATION FORM
                                   (Deadline for submission is 2/28/22)

         Chapter Name                                                          State 
Street Address | City | ST | Zip 

        Contact Person 
Telephone Home | Work | Cell 
        E-Mail Address 

Total Participants                             Include the names of stagehands below
            Name(s)                       Card #                               Email Address 

                                       PLEASE RETURN THIS FORM TO:
                                        Rdthompson870@gmail.com
                                     FORM MUST BE EMAILED BY 2/28/22

              Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                    5
70th Southwestern Regional Conference
                                        March 17-20, 2022
                                        Little Rock Marriott
                                   3 Statehouse Plaza
                                 Little Rock, AR 72201
                                     1-877-759-6290
                         CITATION FOR THE OMEGA CHAPTER

Please submit citations using the link below or complete the form and return.

    https://docs.google.com/spreadsheets/d/1kIxouF60lGPLBbUZuvYwx5LHbouyMTo
SsdNVr1wPUqc/edit?usp=sharing

                      BROTHER                                         STATE

                      DATE OF TRANSITION

                      DATE OF BIRTH                                   PLACE OF BIRTH

                      DATE OF INITIATION                              INITIATING CHAPTER

                      CURRENT CHAPTER                                 CARD NUMBER

                      CITATION SUBMITTED BY:

                                  PLEASE RETURN THIS FORM TO:

                                  director22@pbssouthwestern.org
                               FORM MUST BE EMAILED BY 2/28/22

            Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                  6
70th Southwestern Regional Conference

                                                              March 17-20, 2022
                                                              Little Rock Marriott
                                                     3 Statehouse Plaza
                                                   Little Rock, AR 72201
                                                       1-877-759-6290
                                             DELEGATE CERTIFICATION FORM
Chapter Presidents,
Please use the link below to submit your primary and alternate delegate.
https://docs.google.com/spreadsheets/d/1StQct_gk56_SF3BG0g50jykcPHBH6aF3kB8M8IHjDLM/edit?u
sp=sharing

        Chapter                                                                                                   State: 
  Primary Delegate                                                 Card #                       Email 
  Alternate Delegate                                               Card #                       Email 
  Chapter President                                                Card #                       Email 
  Chapter Treasurer                                                Card #                       Email 

Note: Your delegate and your alternate must be financial to participate in the conference and vote on behalf of
your chapter. Likewise, your chapter tax and insurance must be paid for your chapter to have any
representation. FAILURE IN ANY OF THESE REQUIREMENTS WILL RESULT IN THE REFUSAL
TO SEAT YOUR DELEGATE AND/OR ALTERNATE ON THE CONFERENCE FLOOR.

                                                     PLEASE RETURN THIS FORM TO:
                                                              rlmoss12@gmail.com
                                               FORM MUST BE EMAILED BY 2/28/2022

                                                    DO NOT WRITE BELOW THIS LINE
----------------------------------------------------------------------------------------------------------------------------- -------------------------
                                                         Financial                                             Non-Financial
     Delegate 
     Alternate 
     Chapter Tax 
     Date Received 
     Confirmed 

                     Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                                                                          7
70th Southwestern Regional Conference

                           March 17-20, 2022
                           Little Rock Marriott
                            3 Statehouse Plaza
                          Little Rock, AR 72201
                              1-877-759-6290

                      2022 Regional Committees
                                 Audit
                             Alumni Affairs
                       Awards & Chapter Reports
                           Collegiate Affairs
                              Credentials
                         Delegate Certification
                               Elections
                               Grievance
                          Law and Revisions
                  Necrology, Rededication & Chartering
                              Nominating
                        Resolutions & Citations
                             Time & Place

Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                      8
70th Southwestern Regional Conference

             REGIONAL CONFERENCE STANDING COMMITTEES:

AUDIT COMMITTEE- This committee shall be composed of members appointed by the Regional Director.
Financial records, including expense vouchers, receipts, etc. shall be given to this Committee on the first day of
the conference to allow the committee time to study same and report its findings to the conference.

AWARDS & CHAPTER REPORTS – This committee shall be responsible for reviewing the chapter reports
submitted and to determine the regional outstanding chapters and individual awards selections submitted to the
conference.

COLLEGIATE AFFAIRS COMMITTEE- This committee shall be chaired by the
Second Vice Regional Director. It shall meet to discuss issues and concerns of the collegiate brothers. This
committee shall make its report to the conference.

ALUMNI AFFAIRS COMMITTEE- This committee shall be chaired by the Alumni Affairs Director. It shall
meet to discuss issues and concerns of the alumni brothers. This committee shall make its report to the
conference.

CREDENTIALS – This committee shall be responsible for reviewing the credentials of every delegate to the
Regional Conference and prepare a list of official delegates and chapters for presentation to the delegates in
assembly.

DELEGATE CERTIFICATION –This committee shall be responsible for certifying the voting strength of the
chapters prior to the first plenary session.

ELECTIONS COMMITTEE- This committee shall be responsible for coordinating the election process. The
Committee will be responsible for roll call and tabulation of votes.

GRIEVANCE COMMITTEE- This committee shall review all grievances referred to the regional conference
by either chapters or members for disposition. It shall review all requests for suspension or expulsion of
members and for disciplinary action against chapter and/or members and report its findings and
recommendations to the Regional Conference for consideration and approval.

LAW & REVISION COMMITTEE- This committee appointed by the Regional Director will review all
proposed amendments to the Constitution and By-Laws and report its recommendations to the Conference. It
shall also compile a listing of approved amendments and cause same to be published and distributed to all
chapters so they may keep the Constitution and By-Laws up to date.

NECROLOGY, REDICATION & CHARTERING - This committee shall report to the conference all names of
brothers who have died since the last meeting of the regional conference and shall conduct the Phi Beta Sigma
Omega Service at the conference. The chairperson of this committee shall cause the names of the brothers so
memorialized to be sent to the International Executive Director for inclusion in the International Conclave
Necrology Committee Report. This committee shall also be responsible for conducting the rededication
ceremony at the regional conference as well as the chartering ceremony for any new chapters whose application
for a charter has been approved.

               Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                                 9
70th Southwestern Regional Conference

NOMINATING COMMITTEE- The nominating committee appointed by the Regional Director shall consider
persons for nomination to every elected office in the region and submit one slate to the regional conference
when its report becomes the order of business.

RESOLUTIONS COMMITTEE- This committee shall review all resolutions for consideration by the
conference and may on its own motion draw up resolutions for such consideration. Such resolution may deal
with any matter other than the internal affairs of the Region. Approved resolutions should be noted for
implementation at the time of approval. The Resolutions committee shall make its report on the first full day of
the conference.

TIME & PLACE COMMITTEE- This committee shall evaluate future sites for the conference and rate their
progress.

               Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                               10
70th Southwestern Regional Conference

                                               March 17-20, 2022
                                               Little Rock Marriott
                                                 3 Statehouse Plaza
                                               Little Rock, AR 72201
                                                   1-877-759-6290
To Chapter Presidents:

Based on the enclosed announced committees, please provide information on members of your chapter who are interested
in being appointed to a Regional Conference Committee.

Please keep in mind that any brother appointed to a committee must make the commitment to arrive at the conference by
Thursday, March 17, 2022. The committee meetings start on Thursday afternoon at 1:00 p.m. Any Brother appointed
will be expected to attend all scheduled meetings. While any brother may sit on a committee, please note that decision-
making by a committee is limited to the brothers appointed by the Regional Director. Committees may also convene
virtually before the start of the conference to complete any prework that may be necessary. Please understand, due to the
size of the regional body, it may not be possible to honor all requests for appointment to a committee. Brothers are always
welcome to attend any committee meeting, whether appointed or not. Access the Google form at the link below.

https://docs.google.com/spreadsheets/d/1kVJ9TE-ivSsH9QAqzpGiyRjAd6uq8XfkKqmNFTo8njE/edit?usp=sharing

               Chapter 
          Chapter President 
                     List Committee, Brother’s Names, Card Number, and Brother’s Email Address
             Committee                    Brother’s Name         Card #                 Email Address 

                                         PLEASE RETURN THIS FORM TO
                                       Bro. Michael L. Murry, Regional Director
                                       Email: director22@pbssouthwestern.org

                                     FORM MUST BE EMAILED BY 2/15/22

                Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                                         11
70th Southwestern Regional Conference
                 REQUEST FOR A REGIONAL CONSTITUTIONAL
                                 CHANGE

I/we, ________________________________________of the _____________________

Region of Phi Beta Sigma Fraternity, Inc., wish to amend the ___________________

Regional Constitution and By-Laws by:

(Circle appropriate number – only one per form):

1. Inserting “certain words” in a “specific” place within the “existing” text.

2. Deleting “certain words” in a “specific” place within the “existing” text.

3. Deleting “certain words” from a “specific” place within the “existing” text and in their place inserting

“certain new words”.

4. Inserting a new paragraph (which does not now exist) between two existing paragraphs with the

subsequent necessary renumbering.

5. Deleting existing paragraph with the subsequent necessary renumbering.

6. Substituting an already existing paragraph with an entirely new paragraph.

Present wording in CONSTITUTION ________ or By-Laws_____: Article___;

Section______ Paragraph________; Subsection _________ States the following:

              Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                          12
70th Southwestern Regional Conference

                REQUEST FOR A REGIONAL CONSTITUTIONAL
                                CHANGE
                                               (Page 2 of 2)

State Proposed Wording:

Indicate Why Amendment is Necessary:

_____________________________________________                   _______________
Signature (If from a Chapter, President’s Signature)              Card Number

Chapter: _______________________________________________

Location: _______________________________________________

Return Completed Form To:
Bro. Richard L. Moss, Chief of Staff
Rlmoss12@gmail.com

                    Please Note: Amendments must be emailed by February 12, 2022

                 All proposed amendments will be sent to chapters by February 15, 2022

             *** Amendments must be approved by a two-thirds vote of voting Delegates***

              Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                    13
70th Southwestern Regional Conference

                                   RESOLUTIONS FORM
                                (Attach Additional Sheets if necessary)

WHEREAS,

AND WHEREAS,

AND WHEREAS,

AND WHEREAS,

THEREFORE, BE IT RESOLVED,

________________________________________________                _________________
                  CHAPTER                                              DATE

________________________________________________                _________________
CHAPTER PRESIDENT or INITIATING BROTHER                         FRAT. CARD NO.

RETURN COMPLETED FORM TO:
Bro. Nosayi Arthur-Osaghae
Southwestern Regional Secretary
narthurosaghae@gmail.com

                          FORM MUST BE Emailed BY: February 15, 2022

            Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                  14
70th Southwestern Regional Conference

                     REGIONAL OFFICERS CANDIDATES FORM
Name: ______________________________________ Fraternity #:______________

Chapter: ____________________________________ State: ________________

Address: ___________________________________________________

City, State, Zip: _____________________________________________

Phone Number: _______________________________________________

Email Address: ______________________________________________

Desired Office: (please circle)

Regional Director                     First Vice Director            Second Vice Director

Collegiate Member At-Large            Regional Treasurer             Regional Secretary

               Regional Legal Counsel                Director of Collegiate Affairs

Director of Bigger & Better Business                                 Director of Social Action

                                      Director of Education

**Note: Please refer to your regional constitution for duties of each officer and requirements to fill a
particular office.**
Return Forms To:
                                             Michael L. Murry
                                    Director22@pbssouthwestern.org
                                                     Or
                                             11 Sunbelt Court
                                          Mayflower, AR 72106

            FORMS MUST BE POSTMARKED or RECEIVED VIA EMAIL BY: February 15, 2022

PLEASE NOTE: The nominating committee will verify if the brother (via candidate form or nomination from the
floor) is financial, registered for the 2022 SWRC and meets the requirements of desired office. The nominating
committee will interview all perspective candidates Thursday, March 17, 2022 beginning at 2PM. The chairperson
will contact all candidates with your specific interview time. Candidate interviews may also be conducted virtually
prior to the start of the conference. Any candidate not present for their interview will be dropped from
consideration for office. The nominating committee will report during Friday’s Plenary Session; any candidates
not selected by the committee must be nominated from the floor at that time. Voting will take place via open
microphone ballot on Saturday, March 19, 2022.

               Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                                 15
70th Southwestern Regional Conference

                                            March 17-20, 2022
                                            Little Rock Marriott
                                  3 Statehouse Plaza
                                Little Rock, AR 72201
                                    1-877-759-6290
                       GRADUATING SENIOR RECOGNITION FORM
Please click the link below to submit.
https://docs.google.com/spreadsheets/d/1j1Sj3Hi2-
CytiCyR6M5j0u56S6c3y7jWYCqOoubF3II/edit?usp=sharing

       Chapter 
     School Name                                                                              State 
                     Note: Include any brother who will be graduating in December 2021 or May 2022
    Brother’s Name                     Degree                  Card #                  Email Address 

                                  PLEASE RETURN THIS FORM TO:
                                    director22@pbssouthwestern.org

                                 FORM MUST BE EMAILED BY 3/1/22

            Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                            16
70th Southwestern Regional Conference
                                         March 17-20, 2022
                                         Little Rock Marriott
                                           3 Statehouse Plaza
                                         Little Rock, AR 72201
                                             1-877-759-6290
                             MILESTONE INFORMATION FORM
Any Brother who celebrates the anniversary of 5, 10, 15, 20 and up in increments of FIVE Years of
Service in the Fraternity should complete and submit this form using the link below.

https://docs.google.com/spreadsheets/d/1k8nPFdONbsvPLmif_fyb_mZ5Xa5WOXqEd7ZmYA7YabM/edi
t?usp=sharing

        Chapter                                            Initiation Date 
      School Name                                                                     State 

     Brother’s Name           Present Occupation          Card #                Email Address 

       Mailing Address 

                                           City                  State        Zip Code        Phone # 

     Brother’s Name           Present Occupation          Card #                Email Address 

       Mailing Address 

                                           City                  State        Zip Code        Phone # 

     Brother’s Name           Present Occupation          Card #                Email Address 

       Mailing Address 

                                           City                  State        Zip Code        Phone # 

                               PLEASE RETURN THIS FORM TO:
                                 director22@pbssouthwestern.org
                              FORM MUST BE EMAILED BY 3/1/22

             Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                             17
70th Southwestern Regional Conference

                            PHI BETA SIGMA FRATERNITY, INC.
                              Southwestern Regional Conference
                                     March 17-20, 2022
                     Regional Conference Form Checklist and Due Dates
    FORM/EVENT                              DUE DATE                         RETURN TO:
                         CONFERENCE REGISTRATION CUT-OFF DATES

    Early Bird Registration                 January 15, 2022
    Pre-Registration Registration           January 31, 2022
    Regular Registration                    February 19, 2022

    HOTEL ROOM REGISTRATION CUT-OFF                              February 23, 2022

                                    FORM SUBMISSION DUE DATES

   Sponsorship Forms                       February 20, 2022            director22@pbssouthwestern.org
   Souvenir Journal Ads                    February 20, 2022            avip4u@prodigy.net
   Vendor Contracts                        February 15,2022             avip4u@prodigy.net
   Step Show Competition Form              February 28, 2022            rdthompson870@gmail.com
   Committee Appointments Form             February 15, 2022            director22@pbssouthwestern.org
   Constitutional Change Form              February 12, 2022            director22@pbssouthwestern.org
   Resolution Form                         February 15, 2022            director22@pbssouthwestern.org
   Candidate Notification Form             February 15, 2022            director22@pbssouthwestern.org
   Graduating Senior Recognition           March 1, 2022                director22@pbssouthwestern.org
   Milestone Form                          March 1, 2022                director22@pbssouthwestern.org
   Omega Citation Form                     February 28, 2022            director22@pbssouthwestern.org
   Primary Delegate Form                   February 28, 2022            director22@pbssouthwestern.org
   Regional DSC Citation                   February 15, 2022            submit to: Bro. Ed Jordan

             Founded 1914 | Washington D.C. | www.phibetasigma1914.org | www.pbssouthwestern.org
                                                                                                          18
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