Visitor Information Form- Omega Psi Omega 
For verification purposes,  all visiting Sorors are required to complete the information below 5 days prior to visiting the chapter meeting. 
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Email *
Date  *
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Name 
Telephone # 

In what City and State do you currently reside? 

Financial Membership Number

Initiated Chapter (Name, Year,  and School).

Your Last Name at the time of initiation.  *

Most Recent Chapter Affiliation (Chapter Name, City and State) . 

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Current Membership Statues
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Reason for your visit

Please specify if this is your first, second, or third visit. Please keep in mind that Sorors are only allowed three  visits with a chapter prior to deciding to join. 

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How did you learn about Omega Psi Omega?  *
If your learned about Omega Psi Omega via Social Media, please indicate which platform. 
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If you were referred to Omega Psi Omega by a  Soror (within the chapter or outside of the chapter)  please list their name below.  
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