Current Information
* College:
* Name:
* Mailing Address:
* City:
* State:
* Zip:
* Campus Phone:
* E - Mail:
Permanent Information
Address:
City:
State:
Zip:
Phone:
High School:
Parent's Name:
Academic Information
* Cumulative GPA:
Last Term's GPA:
Major:
Minor:
Year: Choose One Freshman Sophomore Junior Senior
Activities: (Clubs, organizations, athletics, music, offices held, hororaria, awards)
Hobbies & Interests:
How did you hear about Delta Tau Delta Fraternity? Choose One Website Parents Newspaper Friend Relative Letter Other
Are you a Legacy? Choose One No Yes
Have you ever been involved with a Fraternity or participated in rush? Choose One No Yes
If Yes, please explain:
Personal Goals for a Fraternity:
Reasons for inquiring/pursuing Delta Tau Delta:
Other Men interested in Delta Tau Delta:
