ΣΑΕ - COLORADO CHI
POTENTIAL NEW MEMBER QUESTIONNAIRE
First Name *
Your answer
Last Name *
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Preferred Name
If other than name above
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Birthday: *
MM
/
DD
/
YYYY
Mobile Phone *
(xxx) xxx-xxxx
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CU Boulder Email Address *
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Mailing Address (Boulder) *
Name of Dormitory or Address Off Camups
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Year *
Major *
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