MU BETA PHI
MILITARY FRATERNITY INCORPORATED
Interested Member Application
Your Name:
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Your email:
*
Phone Number
*
Please enter a valid phone number.
Date of Birth
-
Year
-
Month
Day
Date
Are you a Naturally Born Male; Assigned Male at Birth (AMAB)?
*
Yes
No
Branch of service
*
Please Select
Air Force
Air Force Reserve
Air National Guard
Army
Army National Guard
Army Reserve
Coast Guard
Coast Guard Reserve
Marine Corps
Marine Corps Reserve
Navy
Navy Reserve
Space Force
Are you still currently serving
*
Please Select
Yes
No
Number of years of service
*
Discharge type
*
Please Select
Honorable discharged
General under honorable conditions
Others than honorable
Bad conduct discharge
Dishonorable discharge
Highest level of education
*
Please Select
High school/GED equivalent
Associate Degree
Bachelorette Degree
Masters Degree
Doctorate Degree
Have you ever been convicted of a felony?
*
Please Select
Yes
No
Please explain details of conviction:
Click "Read NDA" link to view
*
Were you referred by a member of Mu Beta Phi Military Fraternity Incorporated?
*
Please Select
Yes
No
Name of member who referred you
Upload your DD214
*
Browse Files
Drag and drop files here
Choose a file
Not required if not readily available
Cancel
of
Upload your Letter of Recommendation
*
Browse Files
Drag and drop files here
Choose a file
Not required if not readily available
Cancel
of
Upload your Birth Certificate
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Upon hitting submit, you will be taken to a Paypal login screen in order to submit payment.
*
prev
next
( X )
Registration Fee
Non-refundable application fee for all new interested members.
$
25.00
Save
Submit
Should be Empty:
