Alpha District of Minnesota Directory
Please complete the below form to assist us in keeping your contact information accurate and up-to-date. Information provided will allow us to 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 *
Middle Initial *
Last Name *
If applicable, please include suffix (e.g., Jr, Sr, III)
Email Address *
Telephone Number *
Address (just City and State, ex: Minneapolis, MN) *
Birthdate (XX/XX/XXX) *
Place of Employment *
Position Title *
What does your professional position entail? What are your key responsibilities?
Chapter into which you were initiated into the Fraternity *
Fraternity Initiation Date *
Please include Month, Day and Year
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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