Theta Delta Chi -- Charge Consultant Application
Please complete all fields. If you have any questions please email glstaff@tdx.org or call 800.999.1847 ext. 3 to reach Executive Director Brian Bertges.

If you have any issues submitting this form or if you do not have a google account to sign with please submit all information in email to glstaff@tdx.org.

Email Address *
Name (First & Last) *
Charge & Delegation (e.g. Epsilon '84) *
Cell Number *
I am applying to start: *
Resume *
Required
Cover Letter *
Required
Reference One (Please include name, phone number, email and relation) *
Reference Two (Please include name, phone number, email and relation) *
Reference Three (Please include name, phone number, email and relation) *
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