Kappa Psi Member Information Form
This form is used to help the Keeper of Records and Seal have up-to-date records of each brother within the Kappa Psi Chapter of Omega Psi Phi Fraternity, Inc.
Contact Information
First Name *
Last Name *
What is your primary phone number? *
Preferrably your cell phone number
What is your mailing address? *
This the address that you want physical mail delivered to.
What is your primary e-mail address? *
This is the e-mail address that you check everyday (preferrably GMail); This will also be the address that we invite you to our Chapter E-Mail distro
Fraternal Business
Are you a Life Member? *
If you are a Life Member, what is your Life Member number?
What is your Control Number? *
What brother reclaimed you or got you to transfer into Kappa Psi?
Networking Business
What is your Industry? *
Please provide details *
Company, Role, Specialized Skills
What current Kappa Psi Committees would you like to help with? *
Let's get to work
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