Potential New Member Application

Omega Nu Xi Fraternity Inc. Potential New Member Application

We are excited to welcome new members! Please fill out the following application to join our community.
Full Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Social Security: Please provide your full SSN for backgrounds checks ONLY*
Email Address*
example@example.com
Phone Number*
Please enter a valid phone number.
Current Address: Please provide address where you expect to receive mail.*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
What interests you about joining our organization?*
What skills or experience can you bring to our organization?*
Do you have any questions or comments for us?*
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Relationship to applicant*
Facebook Profile*
ex: www.facebook.com/example
Instagram Profile*
Have you applied to Omega Nu Xi Fraternity, Inc. before?*
Are you an active or former member of any other Greek-letter organization?*
If you you answered yes, please provide the name of the current/former organization along with the dates you were a member. If NO-N/A*
Please provide the name and email of a contact person from the mentioned organization.*
Please any Hobbies/ Interests here:*
In no more than 250 words, explain why you want to join our brotherhood*
We want the REAL YOU.
Your current relationship status:*

Single/Never marriedMarriedIn A RelationshipDivorced
Employment Status*
Do you have any children? If so, how many?
T-Shirt Size*
Unisex shirt sizes
Jacket/Cardigan Size*
Shoe Size*
Do you have any allergies?*
If there are any pertinent files you'd like to include, please attach here:

Cancelof
Is there any other information that you would like to share with us?
By submitting this application, you agree to provide your personal information for the sole purpose of potential membership in Omega Nu Xi Fraternity, Incorporated. Please note that once submitted, your application cannot be changed. You must submit truthful information, or your application may be denied and you will not be eligible for future new member processes.*

Yes, I agree/ UnderstandNo, I do not agree
Please verify that you are human*
Please sign here:

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Once the application is filled out, send the $40 application fee to the Omega Cashapp or PayPal.

Cashapp- $OmegaNuXi

Paypal- omeganuxifraternity@gmail.com

Send a email to omeganuxifraternity@gmail.com confirming that a payment was sent.
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Omega Nu Xi Fraternity Inc. Potential New Member Application