Membership Verification Form

Membership Verification Form
Hello there! Please complete this form at least 3 days prior to attending a chapter meeting. Once your membership is verified, we will contact you.

This form is ONLY for members of Delta Sigma Theta and NOT for persons interested in membership. If you are seeking membership in Delta Sigma Theta Sorority, Incorporated, please see our national website.
Member Number*
You can find this in the Sisters Only portal of the national website.
Name*

First NameLast Name
Email address*
example@example.com
Name when initiated*

First NameLast Name
Approximate date of initiation

MonthDayYear
Date
Chapter in which initiated
Last chapter in which you paid Grand Chapter dues
Current Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: