Chapter Consultant Applications

* Required Field

* Last Name:

* First Name:

* E-Mail Address:

Social Security #:

Chapter/Grad Year:

Year in School:

Proj. Grad Date:

Home Phone:

School Phone:

* School Address 1:

* School City:

* School State:

* School Zip:

Effective Until:

Date of Birth:

* Address 1:

* City:

* State:

* Zip:

ACADEMIC BACKGROUND

Major:

Minors:

GPA Overall:

Why is your college/university a better place because of your attendance?

EMPLOYMENT BACKGROUND

Company/Position/Dates:

Company/Position/Dates:

Company/Position/Dates:

PERSONAL STATEMENTS

Write about a job in which you were not successful and why that was:

In one sentence write your life's purpose statement:

HONORS/AWARDS ON CAMPUS/COMMUNITY

In order of importance to you, please list all honors, awards and/or areas in which you have distinguished yourself:

FRATERNITY EXPERIENCE

In order of importance to you, please list all offices or positions held:

OTHER ACTIVITIES

Please list all other college or civic activities and organizations to which you belong(ed) and offices held:

What do you currently see as the greatest weakness of Delta Tau Delta?

As a fraternity man, how do you balance accountability with brotherhood?

REFERENCES

Name/Address/Phone/Relationship:

Name/Address/Phone/Relationship:

Name/Address/Phone/Relationship: