Request a Module

REQUEST A MODULE

Modules are open to all Brothers (undergraduate and alumni) of Phi Sigma Pi. To request a module, please use the form below or email the information to lia@phisigmapi.org. If you want to incorporate Leadership in Action into your ICR event, please use this form.

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To allow enough time for Certified Local Facilitators to prepare and make room reservations, please allow at least one week's notice when requesting modules.

Note: Local modules are approximately 30-45 minutes long. It is recommended to leave 60 minutes for questions.

Your Name*

Your Email*

Your Chapter*

Date Requested*

Start Time:*

Local Module Requested*

Will the module be hosted during an ICR event?*
No, the module will not be hosted during an ICR event.
Yes, the module will be hosted during an ICR event.

Preferred Certified Local Facilitator(s)

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