Expansion Efforts - Interest Form

1
Which university do you attend? * This field is required.
Please Select
Please Select
Florida International University
Clemson University (Eta-Psi)
University of Oregon (Iota-Epsilon)
Slippery Rock University (Gamma-Delta)
Christopher Newport University (Epsilon-Pi)
CSU-Sacramento (Eta-Alpha)
Indiana (Beta)
Rhode Island (Alpha-Upsilon)
2
Whats your name? * This field is required.
First Name
Last Name
3
What year in school are you?
Freshman
Sophomore
Junior
Senior
Other
4
Whats your phone number?* This field is required.
Please enter a valid phone number.
5
Whats your email? * This field is required.
example@example.com
Should be Empty: