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Omega Nu Xi Fraternity Inc. Potential New Member Application
We are excited to welcome new members! Please fill out the following application to join our community.
Email *
Full Name *
Email Address *
Phone Number *
Social Security: Please provide your full SSN for background checks ONLY *
Date of Birth *
MM
/
DD
/
YYYY
Address *
City *
State/Province *
Zip/Postal Code *
How did you hear about us? *
Required
Why are you interested in joining our organization? *
Do you have any relevant experience or skills you'd like to share? *
Do you have any questions or comments for us? *
Emergency Contact Name *
Number *
Relationship to applicant *
Facebook Profile *
Instagram Profile *
TikTok Profile *
Have you applied to Omega Nu Xi Fraternity, Inc. before? *
Are you and active or former member of any other Greek-letter organization? *
If you answered yes, please provide the name of the current/former organization along with the dates you were a member. If NO-N/A *
Please provide the name and email of a contact person from the mentioned organization. *
Please list any Hobbies/Interests  *
In no more than 250 words, explain why you want to join our brotherhood. *
Do you have any allergies? *
Your current relationship status *
Employment Status *
Do you have any children? If so, how many? *
T-Shirt Size *
Jacket/Cardigan Size *
Shoe Size *
Is there any other information that you would like to share with us?
By submitting this application, you agree to provide your personal information for the sole purpose of potential membership in Omega Nu Xi Fraternity, Inc. Please note that once submitted, your application cannot be changed. You must submit truthful information, or your application may be denied and you will not be eligible for future new member processes. *
Required
A copy of your responses will be emailed to .
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