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Recruit Registration
	Personal Information Last, First Middle: ,   Social Security #: Address: Birthday: (YYYY-MM-DD) City, State Zip: , ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY  Home Phone: Email Address:     Gender: MaleFemale Cell Phone:   Parent/Guardian Information Last, First: ,   Relationship: - Select -FatherMotherGuardianOther Address: Phone: City, State Zip: , ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY  Country: Email Address:     Last, First: ,   Relationship: - Select -FatherMotherGuardianOther Address: Phone: City, State Zip: , ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY  Country: Email Address:     High School Information School Name: Year Graduated: (YYYY) Address: Class Rank: City, State Zip: , ALAKAZARCACOCTDEFLGAHIIDILINIAKSKYLAMEMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWY  Total Students:   GPA:  GPA Scale:  SAT Score:  ACT Score:    High School Activities:   College Information Student ID:         Residence Hall: Dorm Room #: Classification: - Select Here -High School FreshmanHigh School SophomoreHigh School JuniorHigh School SeniorCollege FreshmanCollege SophomoreCollege JuniorCollege SeniorGraduate Student    Major:     Hours Completed:     GPA:   College History College Name Hours Completed GPA   College Activities:   Special Needs:   Recruitment History Have you ever participated in Fraternity Recruitment before?  Yes   No      If yes, where:   Date:   Did you sign a preference card?  Yes   No   Have you ever pledged an IFC Fraternity before?  Yes   No      If yes, University:  Chapter:   Date:   Legacy History University Fraternity Name Name Relationship - Select -FatherMotherBrotherSisterUncleGrandfatherGrandmotherStep Father - Select -FatherMotherBrotherSisterUncleGrandfatherGrandmotherStep Father - Select -FatherMotherBrotherSisterUncleGrandfatherGrandmotherStep Father - Select -FatherMotherBrotherSisterUncleGrandfatherGrandmotherStep Father   Miscellaneous Information   Area of Special Study, Certification or Training:   Community Activities:   Attach Photo:                           Preferred Name:   Login Information Username:   Password: Re-type username:   Re-type password: I certify the above information is true and correct. Electronic Signature: