DSC Alumni Brother Profile
Keep your information up to date to receive Fraternity Communications & Notices of Meetings, Brotherhood Activities & Events.
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Your Last Name *
Your First Name *
Your Brother Name *
Your Big Brother's Name *
Your Chapter *
Your Year of Graduation *
Your Personal Email Address (to receive newsletters and correspondence from Delta Sigma Chi) *
Your Mobile Phone # (for the Brother Directory) *
Home Street Address *
City *
State *
Postal Code *
Country *
Your Practice Name *
Your Practice Email Address *
Your Practice Phone # *
Your Practice Website *
Your Practice Street Address *
City *
State *
Postal Code *
Country *
Would you like to be a part of the Delta Sigma Chi Referral Network?  Yes or No  If yes, by paying your dues we will submit your practice information to the Map of Brothers in the Brothers Resources Section of the Website *
Do you currently hold or have you held a Leadership Positions in Delta Sigma Chi Grand Council? *
Required
List Other Delta Sigma Chi Grand Council Leadership Positions
Are you interested in a position as a State / Provincial / Regional Representative for the Representative Assembly and to be a contact person for newly graduated Brothers? Yes or No    If yes, submit information for a Representative found in the Delta Sigma Chi website under Representatives - Be a Representative.
Are you or have you been *
Required
List Chiropractic Organizations to which you Belong *
List Leadership Positions in Chiropractic Organizations to which you Belong *
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