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Announcing

Alpha Kappa Alpha Sorority, Inc.


Theta Pi Omega Chapter

2016 Cotillion Program

Program for High School Junior and Senior Young Ladies as Debutantes
Program for High School Freshmen and Sophomores Young Ladies as
Junior Debutantes
Program for High School Junior and Senior Young Men and College Freshmen
as Escorts
Excellent Opportunity to raise funds for college
Experience a wide array of activities
Social
Cultural
Community Involvement
Academic
Participate in a Cotillion
You may request an application from any Theta Pi Omega Chapter member
or request one by sending an email to TPOCotillion@gmail.com.

ALPHA KAPPA ALPHA SORORITY, INCORPORATED


May 30, 2015

Theta Pi Omega Chapter


Cotillion Program 2016

Dear Prospective Escorts and Parents/Guardians,


It is with a great deal of excitement that Theta Pi Omega Chapter, Alpha Kappa Alpha Sorority, Inc. announces its 2016
Cotillion Program. For the 2016 Cotillion Program, debutantes are young ladies who will be juniors and seniors in the 20152016 school year and are planning to enroll in a post-secondary educational institution. Junior debutantes are young ladies
who will be freshmen and sophomores.
Escorts are young men who will be High School juniors and seniors or in their first year in college in the 2015-2016
school year. These gentlemen escort and dance with the debutantes during the Cotillion. In addition, the young men are
engaged in a variety of workshops, cultural, civic and community activities throughout the Theta Pi Omega Chapter
Cotillion program. Eligible escorts may receive scholarships and awards to be used for their post-secondary educational
endeavors. This unique program, which culminates with a formal Debutante Ball on April 9, 2016, is an experience that will
forever remain in the hearts and minds of each participant.
The application packet consists of:
Program Participation Criteria
An application form
Two recommendation forms, one of which must be completed by a high school teacher or counselor
Applicants must submit a complete application packet, along with an activity sheet or resume, and an official sealed
transcript* no later than Monday, October 5, 2015. In addition to the completed application, a fee of $75.00 in the form
of a certified check or money order must be made payable to Theta Pi Omega Chapter, AKA. The completed application
packet and application fee should be mailed to:
TPO Cotillion Program
Alpha Kappa Alpha Sorority, Inc.
Theta Pi Omega Chapter
7 Emerson Lane
Hainesport, New Jersey 08036
Additional information regarding the application process and the subsequent Cotillion Program is available on the Theta Pi Omega
Chapter Cotillion website http://thetapiomegaakacotillion2016.weebly.com. Just click on Cotillion Program in the Navigation Panel to
learn more.
All successful candidates will receive letters of acceptance on or before October 12, 2015. Should you have any further questions or
concerns, please email them to TPOCotillion@gmail.com.
Sincerely,

Melanie L. Burney

President, Theta Pi Omega Chapter

El-Rhonda W. Alston, Esq. and Mrs. Glynis Spencer


Chairmen 2016 Cotillion Program

ALPHA KAPPA ALPHA SORORITY, INCORPORATED


Theta Pi Omega Chapter
Cotillion Program 2016

ESCORT COTILLION PROGRAM PARTICIPATION CRITERIA


An escort applicant must:
1) Must be of good moral character.
2) Must maintain a C+ average or above.
3) Must be recommended by a member of Alpha Kappa Alpha Sorority, Inc., Theta Pi Omega Chapter.
4) Must be a junior or senior in high school or a freshman in college.
5) Must be single, have no children and never have been married.
6) Must adhere to all of the rules and guidelines of the Cotillion. Any violation of these rules will result in
dismissal from the Cotillion.
7) Participants in Cotillion 2016 are expected to be discreet and maintain a sense of privacy when it comes to
their personal affairs and display of certain physical attributes. Therefore, the Cotillion Committee reserves
the right to terminate the participation of a Debutante or Junior Debutante or Escort who is found using,
profanity, sexually explicit language, either verbally or in print, or posting or texting graphic pictures on any
social networking site or other social media such as smart phones, Instagram, Twitter, Facebook, or the like.
8) Be able to commit time for participation in Cotillion Program activities and Cotillion Ball preparation
activities
10) Be single, never married, and not a parent.

ESCORT APPLICATION
ALPHA KAPPA ALPHA SORORITY, INCORPORATED
THETA PI OMEGA CHAPTER
(Please type or print)
NAME

E-MAIL:

ADDRESS
CITY
PHONE - HOME:
HIGH SCHOOL
PARENT/GUARDIAN NAME
PARENT/GUARDIAN MOBILE PHONE
PARENT/GUARDIAN EMAIL ADDRESS

STATE

ZIP CODE

MOBILE:
Grade

PLEASE ATTACH A COPY OF YOUR RESUME OR ACTIVITY SHEET

ESCORT APPLICATION
PAGE 1

POST SECONDARY EDUCATION PLANS (college or university you plan to attend)

IN WHAT AREA DO YOU PLAN TO MAJOR?


HOBBIES / TALENTS

CHURCH AFFILIATION_
CANDIDATE SIGNATURE

DATE

PARENT/GUARDIAN SIGNATURE

DATE

Please mail application, official transcript, resume, and recommendation forms to: Cotillion Program, Alpha
Kappa Alpha Sorority, Inc., Theta Pi Omega Chapter, 7 Emerson Lane, Hainesport, New Jersey 08036.
If you have any questions, please contact either Ms. Juanita Byrd or Mrs. Nikki Wright at
TPOCotillion@gmail.com.
Applications must be postmarked by October 5, 2015.

ESCORT COTILLION APPLICATION


PAGE 2

ESCORT RECOMMENDATION
FORM #1
Cotillion Program
Alpha Kappa Alpha Sorority, Incorporated
Theta Pi Omega Chapter
APPLICANT
How long have you known the applicant and in what capacity have you known him?
What words come to mind when you think of the applicant?

Please write the number which best applies to each area:


(1-Outstanding 2-Above Average 3-Average 4-Below Average)
1. Integrity 1 2 3 4
2. Contribution to School or Community 1 2 3 4
3. Character 1 2 3 4
4. Relationship with Peers 1 2 3 4
5. Academic Motivation 1 2 3 4
6. Positive Attitude 1 2 3 4
7. Responsibility 1 2 3 4
Please comment briefly about the applicants personality, character, academic aspirations, citizenship, etc.

Signature

Title

Please place this form in a sealed envelope, sign the flap, and return the envelope to the applicant to be
mailed with her application.

ESCORT RECOMMENDATION
FORM #2
Cotillion Program
Alpha Kappa Alpha Sorority, Incorporated
Theta Pi Omega Chapter
APPLICANT
How long have you known the applicant and in what capacity have you known him?
What words come to mind when you think of the applicant?

Please write the number which best applies to each area:


(1-Outstanding 2-Above Average 3-Average 4-Below Average)
1. Integrity 1 2 3 4
2. Contribution to School or Community 1 2 3 4
3. Character 1 2 3 4
4. Relationship with Peers 1 2 3 4
5. Academic Motivation 1 2 3 4
6. Positive Attitude 1 2 3 4
7. Responsibility 1 2 3 4
Please comment briefly about the applicants personality, character, academic aspirations, citizenship, etc.

Signature

Title

Please place this form in a sealed envelope, sign the flap, and return the envelope to the applicant to be
mailed with her application.