AMICAE Application

ZETA Amicae of Zeta Phi Beta Sorority, Incorporated

I am interested in becoming a member of ZETA AMICAE, an auxiliary of Zeta Phi Beta Sorority, Incorporated, sponsored by

Chapter City

Chapter State

I will abide by the rules and regulations of Zeta Phi Beta Sorority, Incorporated, and Zeta Amicae if my application is approved.

Name*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Residence Phone*

Please enter a valid phone number.Format: (000) 000-0000.

Business Phone

Please enter a valid phone number.Format: (000) 000-0000.

Email*

example@example.com

Community Interests

Zeta Sponsor

Amicae Sponsor

Applicant's Signature*