Please note: Delta Chi IHQ’s new phone number is 317-747-1890. The previous number will remain active for 6–12 months during the transition.

I Am A:

CSA Disbursement Request

Please submit your chapter scholarship account (CSA) scholarship request(s) by filling out this form. Direct any questions or concerns you have regarding your request to fdnstaff@dcef.com or (463) 207-7234.

READ PRIOR TO SUBMITTING FORM:

  • Forms have to be submitted by a member of the ABT or a member of the chapter’s scholarship committee.
  • Do not include social security numbers on your submission.

PLEASE ALLOW AT LEAST 30 DAYS FOR US TO PROCESS YOUR REQUEST.

Logo of Delta Dental with a blue and green triangular icon.

I Am A: