ALPHA KAPPA ALPHA SORORITY, INCORPORATED
MID-WESTERN REGION
STEP SHOW PERMISSION REQUEST
CHAPTER:______________________________________________________
COLLEGE/UNIVERSITY:__________________________________________
CITY, STATE:___________________________________________________
INFORMATION REGARDING STEP SHOW
DATE: ____________________ TIME: __________________
LOCATION: _____________________________________________________
SPONSORING ORGANIZATION: _______________________________________
PURPOSE: ____________________________________________________
_______________________________________________________________
ARE MONETARY PRIZES BEING AWARDED? _____ YES ____ NO
INFORMATION REGARDING PERFORMANCE
DESCRIPTION OF ATTIRE: _______________________________________________________________
DESCRIPTION OF PERFORMANCE (i.e. dance routine, step routine, skit, etc):
___________________________________________________________________________________________________________________________________
MUSICAL SELECTION (i.e. artist and title): _______________________________________________________________________________________________________
SIGNATURE OF CHAPTER BASILEUS:______________________________________________
SIGNATURE OF GRADUATE ADVISOR: ____________________________________________
******************************For Official AKA Use Only ******************
APPROVED: ______________________________ DATE:___________
NOT APPROVED: _________________________ DATE:____________
DATE MAILED:_________ FAXED:________ VERBAL APPROVAL _________
