This form provides authorization from the undersigned student to waive their FERPA rights so the following information related to the undersigned student may be shared with the Campus Life Office, who in turn may share all such information with a chapter's leadership and other local and national chapter representatives.  This authorization will continue for as long as the student is a member of the indicated chapter.  Chapter use this information to confirm GPA requirements and provide academic and behavior support and best practices as needed.  Information that may be shared incldues:

• Grade point average (term and cumulative)
• Midterm grades
• Term credits
• Term hours
• Enrollment status
• Disciplinary probation status and related information

This form also explains the Anti-Hazing Policy of Knox College, an overview of hazing, and resources available related to hazing.

This form must be signed by any student interested in joining a social fraternity or sorority chapter at Knox College, including Order of Omega.  A student is not considered by Knox College to be a member of one of the chapters listed below unless this form is signed. 

• Alpha Sigma Alpha
• Beta Theta Pi
• Delta Delta Delta
• Kappa Kappa Gamma
• Order of Omega
• Phi Gamma Delta
• Pi Beta Phi
• Sigma Chi
• Sigma Nu
• Tau Kappa Epsilon

General Standards of Conduct

Hazing: The college prohibits hazing, which is defined as any act which endangers the mental or physical health or safety of a student, or which destroys or removes public or private property, or which produces ridicule, embarrassment, harassment, intimidation or other similar result, for the purpose of initiation, admission into, affiliation with, or as a condition of continued membership in, a group or organization. Examples include paddling, creating excessive fatigue, physical and psychological shock, public stunts, and morally degrading or humiliating games and activities. The express or implied consent of the victim will not be a defense of this violation, and apathy or acquiescence in the presence of hazing is also seen as a violation of this policy.

All campus organizations are not permitted to haze and may confer membership on new members in many different ways. They must not have any type of informal initiations that incorporate hazing, such as "Hell Week." All initiations must take place within the chapter houses and must not cause any kind of public nuisance or disturbance.

Nothing may be done to a new or active member that may involve the possibility of physical injury. Students must not be asked to violate their personal or moral beliefs as a condition of initiation. The initiation program must not in any way interfere with a student's academic work and may not do any harm to the student in any way.

Examples of Hazing

Participant endures ridicule, embarrassment, and must complete humiliating tasks in order to feel like a part of the group. Activities include but are not limited to:

• Assigning demerits
• Name calling
• Line-ups and drills/tests
• Expecting certain items to be in one's possession
• Doing extra house chores or expected to run errands for members, alumni, or others affiliated with the members

Participant endures frustration, confusion, stress, and physical discomfort in order to feel like part of the group. Activities include but are not limited to:
Verbal abuse

• Degrading, crude, or humiliating acts
• Sleep deprivation or expectations of extreme late night event attendance or other type of chapter participation at risk of losing a bid/membership
• Perform personal service to initiated members or those affiliated with members

Participant endures physical, emotional, and/or psychological harm in order to feel like part of the group. Activities include but are not limited to:

• Forced or coerced consumption of any food or substance, including but not limited to drugs and alcohol
• Beating, paddling, or other forms of assault
• Forced or coerced ingestion of vile substances or conditions
• Bondage/abductions/kidnaps

Contact one or all of the following resources to report hazing or seek more resources about hazing:

• Debbie Southern, Dean of Students, dsouther@knox.edu, 309-341-7225
• Nate Kemp, Director of Campus Safety, nkemp@knox.edu, 309-341-7255
• Amanda Dermer, Assistant Director for Campus Life, ardermer@knox.edu, 309-341-7945
• Campus Safety, 309-341-7979
• Anonymous Report Form
• Off campus resources: 1-888-NOT-HAZE (1-888-668-4293), www.hazingprevention.org

By signing this form, I acknowledge that:

• I hereby authorize the release of my grade point average, midterm grades, term hours, term credits, cumulative grade point average, enrollment status, and disciplinary probation status and related information to the Campus Life Office, official undergraduate student chapter representatives of the Knox College fraternity or sorority chapter listed in this form, Chapter Advisors, House Corporation President (if applicable), and to (Inter)National fraternity or sorority representatives.  Information released may be used for the purposes of membership status, determining chapter awards, chapter rosters, national reports, fraternity and sorority community recognition and rewards, and other fraternity and sorority related business.
• I understand that this authorization lasts for as long as I am a member of the above listed chapter and an enrolled student at Knox College. 
• I have read and understand all of the above information about Knox College's policy against hazing in any form.
• I understand to whom I should report if I notice or learn of hazing happening on campus. 
• I have received information regarding on campus and off campus resources regarding hazing.