Kappa Psi Kappa Fraternity Inc. Interest Application
CONFIDENTIALITY DISCLAIMER | STATEMENT:

You understand that submitting this application in no way guarantees acceptance for the

membership intake process, only that you will be contacted by the Membership Intake

Committee of Kappa Psi Kappa Fraternity, Incorporated. Incomplete applications will not be

accepted for review.
Email *
First Name *
Last Name *
Middle Initial :
Date of Birth *
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City of Residence *
State *
Phone *
Best Time To Call *
Ethnicity
How did you learn about Kappa Psi Kappa Fraternity, Inc. *
If referred by a member, please give Member’s name in the Other box
Currently Involved in Community Service? *
Yes or No If yes, please list
Check All That Apply *
Required
Mailing List
The Kappa Psi Kappa Mailing list is a monthly email that is sent out with information on upcoming social and service events, Brother spotlights, and important dates and information for interests.
Would you like to join the Kappa Psi Kappa Mailing List? *
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