Membership Interested Form
Personal Data Sheet
Name
*
First Name
Last Name
Email
*
example@example.com
Mobile Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
Other Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Home Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
College/University Where Bachelor's Earned
*
Major
*
Date of Graduation
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Month
-
Day
Year
Date
Cumulative G.P.A
*
Please upload a copy of your resume
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Do you have family connections to Zeta Phi Beta Sorority or Phi Beta Sigma Fraternity?
*
Yes, I have a connection with Zeta Phi Beta
Yes, I have a connection with Phi Beta Sigma
Yes, I have a connection with both Zeta Phi Beta and Phi Beta Sigma
No, I do not have any family connection
Do you have friends or family connections to other Greek Letter Organizations?
*
Yes
No
If you answered yes, please explain.
Do you hold membership in other organizations?
*
Yes
No
If you answered yes, please explain.
Have you ever pursued membership in Zeta Phi Beta Sorority or another sorority?
*
Yes
No
If you answered yes, please explain why you did not complete the intake process
Do you have any criminal history?
*
Yes
No
If you answered yes, please explain.
Terms and Conditions
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Signature
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