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.

First Name
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Last Name
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Middle Initial :
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Email Address
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Date of Birth
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Current City and State
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Phone
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Best Time To Call
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Ethnicity
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How did you learn about Kappa Psi Kappa Fraternity, Inc.
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Currently Involved in Community Service?
Yes or No If yes, please list
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Check All That Apply
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