Phi Beta Sigma Fraternity, Inc

PHI BETA SIGMA FRATERNITY, INC.

Southwestern Region

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4thStreet

St. Louis, MO 63102

Greetings Brothers:

The time has come for us to gather once again in the name of SIGMA…SOUTHWESTERN STYLE.

We look forward to you joining us at the 2012 Regional Conference in St. Louis, MO.

The registration form and packet provides information that will assist you in your registration and planning for the 2012Regional Conference. The conference has been planned with our Collegiate and Alumni in mind. There will be workshops geared on various subjects that will assist our Collegiate in enhancing their chapters as well as discussions of important issues that relate to life after college. There will be updates on our three National Programs (Social Action, Education, and Bigger and Better Business) as well as National Updates given by our International President, Hon. Jimmy Hammock and our International Executive Director. After attending this conference, Brothers should be equipped to take their chapters to higher heights.

Even though it’s not a Conclave year, we will have four popular events: Oratorical Contest, Debate Contest, and Regional Greek Show (Alumni and Collegiate) plus the Southwestern Regional Miss Phi Beta Sigma Pageant.

In order for these events to be successful, we’ve got to have Collegiate participation. Please fill out the attached forms on those events and send back to me by the designated dates.

Early Registration is both a time saver and less expensive; therefore it is recommended that all who plan to attend the Regional Conference register early so that the Region can have an approximate number of brothers participating.

The room rates are $99.00 single and double which include parking. Please make your reservations early to secure your room rate. For additional information regarding room reservations, you may contact the hotel at1- 314-621-8200. Please Register for Your Room by 3/26/12.

There is also time in the schedule for you to enjoy the sites of St. Louis!

May Our Cause Speed On,

Bro. TJ Lewis, Regional Director

“Brotherhood, Scholarship and Service”

PHI BETA SIGMA FRATERNITY, INC.

Southwestern Region

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4thStreet

St. Louis, MO 63102

Early Bird Registration (Postmarked on or before December 31, 2011)

Collegiate $105.00 Alumni $140.00 National Officer $100.00Guest $105.00

Pre-Registration (Postmarked from January 1, 2012 – January 31, 2012)

Collegiate $140.00 Alumni $180.00 National Officer $110.00Guest $125.00

Registration (Postmarked from February 1, 2012 – March 31, 2012)

 Collegiate $175.00  Alumni $220.00 National Officer $120.00 Guest $145.00

On-Site Registration(Postmarked on April 1, 2012 or later)

Collegiate $210.00 Alumni $260.000  National Officer $130.00 Guest $165.00

Personal Information/ Fill out completely for all registrants

Name: ______

Mailing address: ______

City: ______State:______Zip:______

Telephone: Home: (____)______Work: (____)______Cell: (___)______

Email: ______

Membership #: ______Chapter: ______

Club 1914 Member ______Yes ______No

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 Cashiers Check Money Order Personal Check

(Pre-Registration Only…through 2/28/11)

Return this form and Payment to:

Bro. John Toombs, Regional Treasurer

P.O. Box 6355

Jacksonville, AR 72078

Signature: ______Date: ______

August 2011

Phi Beta Sigma Fraternity, Incorporated is conducting our 2012 Southwestern Regional Conference in St. Louis, MO on April 19-22, 2012 at the Crowne Plaza St. Louis – Downtown. Regional and chapter representatives from 6 states along with local public figures are expected to participate in the various seminars and workshops.

Phi Beta Sigma Fraternity, Inc., an international nonprofit organization of college and professional men, was founded in 1914 at HowardUniversity and has as its principles BROTHERHOOD, SCHOLARSHIP AND SERVICE. These principles are exhibited in the Fraternity motto "Culture for Service and Service for Humanity".

We are inviting your business/organization to take part in the Phi Beta Sigma 2012 Regional Conference Souvenir Journal. Attached you will find the schematic which details sizes and prices of the advertisement. Advertisement purchasers of a full page will receive a copy of the souvenir journal.

If you have any questions, please feel free to call Jourdon Morgan, Jr. 314-691-2846.

Deadline for advertisement submission is March 15, 2012.

Thank you for your support,

Jourdon Morgan, Jr.

Conference Planner

ADVERTISING AGREEMENT

You are hereby authorized to insert the attached advertisement and as indicated below in the Southwestern Regional Conference Souvenir Journal.

Deadline for all advertisement submission is: March 15, 2012.

Full Page------$100.00 ______

Half Page ------$60.00 FILL PAGE

8.5 X 11

Quarter Page ------$35.00

______

Eighth Page /Business Card ------$20.00 ONE HALF PAGE

8.5 X 5.5

Patrons ------$10.00 ______

QUARTER PAGE EIGHT PAGE

(The following are First Come Basis Only) 4.25 X 5. 5 4.25 X 2.75

Outside back Cover ------$250.00 ______

Inside Front Cover ------$250.00

Inside Back Cover ------$250.00

Note: Ads with Photographs ADD $20.00

Advertiser must provide camera-ready copy and photographs. Advertiser will be billed for any production incurred in the preparation of their ad if the above requirements are not followed.

Amount Enclosed ______Size Ad Selected ______

Name of Chapter or Company ______

Name and Title of Person Authorizing Ad ______

Address ______

Telephone ______E-Mail ______

PAYMENT MUST BE MAILED WITH AD AND/OR PATRON LIST

MAIL TO: Phi Beta Sigma Fraternity, Inc.

Bro. Jourdon Morgan, Jr., Regional Conference Planner

P.O. BOX78306

St. Louis, MO 63178

Cashiers Check, Certified Check, Money Order or Business Check

Made Payable To: Phi Beta Sigma Fraternity, Inc.

Phi Beta Sigma Fraternity, Inc. and members of its Regions or Chapters shall not be liable for misspelled words, inaccurate information or grammar on ad copy received or published.

Southwestern Region

Academic Achievement Scholarships

WHO:All financial collegiate brothers of the Southwestern Region are eligible for $1,000.00 in scholarship monies!

WHAT:The Southwestern Region will award three (3) scholarships based upon academic achievement and campus involvement. The scholarships will be awarded to brothers in increments of $500.00 (one (1) recipient) and $250.00 two (2) recipients).

WHEN:April 19-21, 2012.

WHERE:Southwestern Regional Conference, St. Louis, MO.

Application within this Packet Additional Information Please Contact:

Bro. Joshua A. Busby, Regional Director of Education

828 N.W. 110th St.

Oklahoma City, OK 73114

Office: 405-466-3289 or Cell: 405-623-6602

Email:

Monies raised from Club 1914 will be used to fund these scholarships. Winner’s Chapter must be a member of Club 1914

STEPHOW

April 20, 2012

On Friday, April 20, 20121 @ 8.p.m, the 2012 Regional Conference Step Show will be held during the Conference. Alumnior Collegiate Chapters will have an opportunity to win $2000 and be declared the undisputed Southwestern Regional Step Champions for 2012.

***IMPORTANT***

Please note that each Brother participating in the step show must be a registered conference attendant.

STAGE IS 24’ x 12’ –Plan accordingly

The following are the rules and criteria that each chapter/ organization will be judged:

 RULES AND REGUALTIONS

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

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

1. 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.

1. EACH CHAPTER MUST HAVE 4 OR MORE PARTICIPANTS.

1. JUDGEMENT CRITERIA FOR PERFORMANCES IS AS FOLLOWS:
2. ORGINALITY-25 PTS
3. APPEARANCE-25 PTS
4. CROWD PARTICIPATION & SHOWMANSHIP – 25 PTS
5. OVERALL PERFORMANCE: STEPPING ABILITY, CHANTING, Etc-25-PTS

NOTE: ANY Chapter THAT VIOLATES RULES I-III WILL BE DISQUALIFIED.

We look forward to seeing your chapter in St. Louis.

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4thStreet

St. Louis, MO 63102

STEP SHOW REGISTRATION FORM (Alumni or Collegiate)

(Deadline for submission is 2/29/12)

CHAPTER NAME AND STATE______

ADDRESS______

CONTACT PERSON______

EMAIL ADDRESS______

AREA CODE AND PHONE NUMBER: ( ) ______

Number Stepping: ______Include a list of Brothers and their Fraternity Card numbers below:

NAMECARD NUMBER

PLEASE RETURN THIS FORM TO

Bro. Roger Hines, Executive Assistant

P.O. BOX 78306

St. Louis, MO 63178

FORM MUST BE POSTMARKED BY 2/29/12

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4thStreet

St. Louis, MO 63102

CITATION FOR THE OMEGA CHAPTER

BROTHER / STATE
DATE OF DEATH
DATE OF BIRTH / PLACE OF BIRTH
DATE OF INITIATION / INITIATING CHAPTER
CURRENT CHAPTER / CARD NUMBER
CITATION SUBMITTED BY:

PLEASE RETURN THIS FORM TO

Bro. Roger Hines, Executive Assistant

P.O. BOX 78306

St. Louis, MO 63178

FORM MUST BE POSTMARKED BY 2/29/12

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4th Street

St. Louis, MO 63102

CHAPTER DELEGATE FORM

Chapter: ______State: ______

Primary Delegate: ______Card Number______

Alternate Delegate: ______Card Number______

Chapter PresidentCard NumberEmail Address

Chapter TreasurerCard NumberEmail Address

Note: Your delegate and your alternate must be financial in order to participate in the conference and vote on behalf of your chapter. Likewise, your chapter tax must be paid in order 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

Bro. Roger Hines, Executive Assistant

P.O. BOX 78306

St. Louis, MO 63178

FORM MUST BE POSTMARKED BY 2/29/12

DO NOT WRITE BELOW THIS LINE

------

FinancialNon-Financial

Delegate______

Alternate______

Chapter Tax______

Date Received______

Confirmed______

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4th Street

St. Louis, MO 63102

CommitteeChairman

Resolutions

Necrology

Grievance

Credentials

Auditing

Awards

Time and Place

Collegiate Affairs

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4th Street

St. Louis, MO 63102

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, April 19, 2012. The committee meetings start at 2pm. 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.

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.

Chapter: ______

Chapter President: ______

List Committee, Brother’s Name, Card No., and Brother’s E-Mail Address

CommitteeBrother’s NameCard NumberE-Mail Address

PLEASE RETURN THIS FORM TO

Bro. Roger Hines, Executive Assistant

P.O. BOX 78306

St. Louis, MO 63178

FORM MUST BE POSTMARKED BY 2/29/12

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza St. Louis – Downtown

1-314-621-8200

200 North 4thStreet

St. Louis, MO 63102

GRADUATING SENIOR RECOGNITION FORM

ChapterSchool Name and State

Note: Include any Brother who will be graduating in the Spring of 2012.

Brother’s NameDegreeE-Mail Address

PLEASE RETURN THIS FORM TO

Bro. Roger Hines, Executive Assistant

P.O. BOX 78306

St. Louis, MO 63178

FORM MUST BE POSTMARKED BY 2/29/12

Southwestern Regional Conference

April 19-21, 2012

Crowne Plaza Hotel St. Louis - Downtown

1-314-621-8200

200 North 4th Street

St. Louis, MO 63102

MILESTONE INFORMATION FORM

Any Brother who celebrates the anniversary of (5), (10), (20), (30), (40) and (+50) Years of Service in the Fraternity should complete this form.

Name: ______

Address: ______

City, State, Zip Code: ______

Phone Number: ______E-mail Address______

Card Number______

Chapter Initiated______Initiation Date______

Present Occupation______

Signed: ______Date: ______

PLEASE RETURN THIS FORM TO

Bro. Roger Hines, Executive Assistant

P.O. BOX 78306

St. Louis, MO 63178

FORM MUST BE POSTMARKED BY 2/29/12

Phi Beta Sigma Fraternity, Inc.

Southwestern Region

Scholarship Criteria

Application Requirements

1. Official university/college transcript (University sealed).
2. Copy of current resume
3. 3 letters of recommendation (One from Chapter Advisor, Area Director, or State Director on letterhead).
4. 1000 Word Essay on including career ambitions/goals and an explanation of why you should be awarded the scholarship.
5. List involvement with fraternity’s national programs and special events.
6. Applicant must be financial at all levels.
7. Applicant must be registered for Regional Conference.
8. Applicant’s chapter must be a member of Club 1914.
9. Applications must be submitted by the February 29th, 2012 deadline for consideration.

Selection Criteria

1. Completed applications will be distributed to the Scholarship Committee. All applications will be submitted to the Southwestern Regional Board with the Committee’s recommendations.

1. The Committee will make recommendation base upon a point system. The points will be based upon the following:

1. Cumulative Grade Point Average

a.2.5 –2.8 1 point

b.2.81 – 3.12 points

c.3.11 – 3.43 points

d.3.41 – 3.74 points

e.3.71 – 4.005 points

1. Supporting Documents

f. Presentation of package 1 – 5 points

g.Essay 1 – 5 points

h.Extracurricular/Leadership activity1 – 5 points

Phi Beta Sigma Fraternity, Inc.

Southwestern Region

Academic Achievement Scholarship

Application

(PLEASE TYPE or PRINT)

NameChapter/College

Mailing Address

City State: Zip

Email:

Home Phone (please include area code) Cell Phone Other Contact Number

Previous Semester GPA Cumulative GPA Cumulative Hours

______

Current Semester Enrollment Hours Major Expected date of Graduation

List All Student and/or Leadership Activities: (List memberships in campus organizations)

List All Community Involvement: (Please elaborate. Include additional sheet if necessary)

List All Honors and Awards:

Please submit an official sealed university transcript with your application by February 28th, 2012.

Complete and return by February 29, 2012 to:

Bro. Joshua A. Busby, Regional Director of Education

828 N.W. 110th St.

Oklahoma City, OK 73114

“Sigmas Enhancing Our Communities”

For the ninthyear, the Southwestern Region will live up to our motto of “ Culture for Service and Service for Humanity” by Blessing a community organization within the city of our Regional Conference

This year our goal is to raise $1500 for TBDin St. Louis

I’m asking all Alumni Chapters to donate $75 and all Collegiate Chapters to donate $50 towards this initiative. Bring your donation to the conference …make your check payable to Phi Beta Sigma Fraternity Southwestern Region.

We will make our presentation to the selected community organization onThursday, April 19thduring the Opening Ceremony. Please make every effort to be in attendances.

“Brotherhood, Scholarship and Service”