MLK Day Form

*Chapter: Appalachian State University Arizona State University Binghamton University Boston University California State University Fresno Castleton University Clemson University Colorado State University East Carolina University East Tennessee State University Eastern Michigan University El Centro College Emporia State University Florida International University George Washington University Grand Valley State University Indiana State University Indiana University of Pennsylvania James Madison University Kansas State University Mississippi State University Montclair State University Murray State University New Mexico State University North Carolina State University Northern Arizona University Oklahoma State University Old Dominion University Purdue University Rowan University San Diego State University Texas A and M University Texas State University Texas Tech University University of Alabama University of Alabama Birmingham University of Arizona University of Central Arkansas University of Central Oklahoma University of Colorado Denver University of Georgia University of Illinois Urbana Champaign University of Iowa University of Louisiana Lafayette University of Louisville University of Maine University of Maryland Baltimore County University of Maryland College Park University of Memphis University of Mississippi University of Nebraska Lincoln University of North Carolina Chapel Hill University of North Carolina Charlotte University of North Carolina Greensboro University of North Carolina Wilmington University of North Texas University of Oklahoma University of Pittsburgh University of South Carolina University of South Florida University of Southern Mississippi University of Tennessee University of Texas Arlington University of Texas at Austin University of Virginia University of Wisconsin Whitewater Valdosta State University Virginia Commonwealth University Virginia Tech West Virginia State University Western Michigan University Youngstown State University

*First Name:

Middle Name:

*Last Name:

*Email:

*Shipping Address:

Apt:

*City:

*State:

*Zip Code:

*Name as you would like it to appear on your certifcate:

*Provide a summary of your 2022 MLK Day experience:

*List any other ways you have volunteered during this year (2021-2022 academic year):

*Did you receive a MLK Day of Service award last year through SAL?: YesNo

*Are you willing for your MLK Day experience to be featured on the SAL national website and social media?: YesNo

If so, please provide a quote explaining what you liked most about your experience:

Please attach up to 5 photos from your MLK Day experience. By submitting photos, you are allowing us to use these photos on this website and in any promotional materials for Sigma Alpha Lambda. If you have more photos to share or have problems uploading pictures here, please email them to [email protected]. Each photo is limited to 300kb. Please name photos appropriately.

Photo 1:

Photo 2:

Photo 3:

Photo 4:

Photo 5:

*Please type in what you see to the right: