Chapter Database Form

Minneapolis-St. Paul Alumnae Chapter | Delta Sigma Theta Sorority, Incorporated
Chapter Database Form
Please complete this form in its entirety using upper and lower case letters and standard abbreviations (Ave.,Dr. Rd.,Apt.).
Today's Date

MonthDayYear
Date
Member ID*
6-Digit Member ID. Enter 123456 if unknown.
- Name:*
  
  First NameLast Name
- Address:*
  
  Street Address
  
  Street Address Line 2
  
  CityState
  
  Zip Code
- Email:*
  example@example.com
- HomeCell
- Home Phone:
  Format: (000) 000-0000.
- Cell Phone:
  Format: (000) 000-0000.
- Spouse/Partner First Name:*
  Type "N/A" if not applicable.
- Spouse/Partner Last Name:*
  Type "N/A" if not applicable.
- Yes/NewNo
- Birthday month/day will be published for Sunshine purposes.
- Birthday Month:*
- Birth Day:*
- 20-3031-4041-5051-61D.E.A.R.S. (62+)
- YesNo
- Occupation:*
  Current or former occupation, if retired. Type "N/A" if not applicable or you prefer not to specify.
- Employer:*
  Current or former employer, if retired. Type "N/A" if not applicable or you prefer not to specify.
- AlumnaeCollegiate
- Alumnae Chapter of Initiation:
- Collegiate Chapter of Initiation:
- College or University:
  For collegiate initiates-city/state of university.
- Last Name at Initiation:*
- Year of Initiation:*
  Example: 1992
- The information provided above is compiled for official use of the Minneapolis-St. Paul Alumnae Chapter and is restricted for the personal use of its members. Any other use constitutes FRAUD.
- I grant permission for the above information to be published electronically in the Members Only section of the Chapter website.I do NOT grant permission for the above information to be published in the Members Only section of the Chapter website.
- Should be Empty: