At the 1914 Convention, Sarah was elected as the first Grand Vice President, an office designed to manage alumni affairs. Sarah traveled around the country, visiting chapters and organizing cooperative alumnae associations. By increasing their voting power, alumnae had a greater sense of obligation and involvement. She believed that each alumna had a duty to serve in some capacity. Sarah also initiated Kappa's role in the rehabilitation following the First World War. The French people were given access to free medical and dental care, and programs were created for fatherless French children. At the 1920 Golden Jubilee Convention, she was elected as Grand President. Among her many accomplishments, she created the first Central Office, run by a new Executive Secretary.