2019/2020 Kappa League Application
APPLICANT'S PERSONAL INFORMATION
NEW ROCHELLE - WHITE PLAINS ALUMNI CHAPTER : We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone. We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g. to ship an order. Unless you ask us not to, we may contact you via email in the future to tell you about specials, new products or services, or changes to this privacy policy.
Email
Your answer
Last Name
Your answer
First Name
Your answer
Middle Name
Your answer
Age
Date of Birth
Your answer
Current Grade
Applicant's Cell Phone Number
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Applicant's Home Telephone
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Parent(s) or Guardian(s) Information
Parent(s) or Guardian(s) Last Name:
Your answer
Parent(s) or Guardian(s) First Name:
Your answer
Parent(s) or Guardian(s) Street Address:
Your answer
Parent(s) or Guardian(s) City:
Your answer
Parent(s) or Guardian(s) State:
Parent(s) or Guardian(s) Zip Code:
Your answer
Child's Shirt Size
Child's Jacket Size
Applicant's Acknowledgement
I wish to participate in the New Rochelle-White Plains Alumni Chapter of Kappa Alpha Psi Fraternity, Incorporated Kappa League Program. I agree to obey the rules of the program, and at any time I can/will be expelled from the Kappa League program for conduct that is detrimental to the program *
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