Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Rush Interest Form
Pi Kappa Alpha Fall Rush 2026
Contact Info:
Recruitment Chairman:
Gavin Stinnett
317-935-9030
President:
Drew Coy
765-591-4522
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Ball State Email Address
*
Your answer
Personal Email Address
*
Your answer
Phone Number
*
Your answer
Major (Minor if applicable)
*
Your answer
Hometown
*
Your answer
Grade
*
Choose
Freshman
Sophomore
Junior
Senior
Cumulative GPA
*
Your answer
Hobbies/Interests
*
Your answer
Instagram username? (if none put N/A)
*
Your answer
Snapchat username? (if none put N/A)
*
Your answer
Do you know any brothers? If so who?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report