Application of Interest

Full Name

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Email Address

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Mailing Address

Please include city, state, and zip code

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Phone Number

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Alternate Phone Number

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Birthdate

Age

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Where did you locate our organization?

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If referred by a member, please select their name below

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Have you ever participated in a Membership Intake Process for ANY Greek Lettered organization?

Yes
No

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If yes, which organization:

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Are you or have you been a member of ANY Greek-Lettered organization?

Yes
No

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If yes, which organization:

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What is your sexual orientation:

Lesbian
Bisexual
Heterosexual
Ally

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Which best describes you:

Feminine
Aggressive, Soft Stud
Butch, Stud
No Label

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Are you currently employed?

Yes
No

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Are you currently attending school?

Yes
No

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Are you interested in chartering a chapter in your city:

Yes
No

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Community Involvements:

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Special Interests:

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Comments:

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Do you have any questions for us?

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