Alpha District of Minnesota Directory
Please complete the form keep us up to date on you and add you to the Alpha MN Directory. Information gathered will be used to strengthen communication and increase social and professional networking opportunities within the District of Minnesota.
First Name *
Your answer
Middle Initial (Name) *
Your answer
Last Name *
If applicable, please include suffix (e.g., Jr, Sr, III)
Your answer
Email Address *
Your answer
Telephone Number *
Your answer
Mailing Address (including City, State, and Zip) *
Please include Apartment Number or Unit Number if Applicable
Your answer
Birth date (XX/XX/XXX) *
Your answer
Place of Employment *
Your answer
Position Title *
Your answer
What does your professional position entail? What are your key responsibilities?
Your answer
Chapter into which you were initiated into the Fraternity *
Your answer
Fraternity Initiation Date *
Please include Month, Day and Year
Your answer
Are you currently active in any of the District of Minnesota chapters? *
If applicable, indicate your role(s) held in your chapter (select all that apply)
Are you financially active? *
Check all that apply.
Required
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