Interest Application

1
Are you ready to be a part of something bigger than yourself?* This field is required.
Yes
No
2
Name* This field is required.
First Name
Last Name
3
Age* This field is required.
4
Date of Birth* This field is required.
Date
Month
Day
Year
5
Occupation* This field is required.
6
What is your availability? Please list days and times. * This field is required.
7
E-mail* This field is required.
example@example.com
8
Cellular Number* This field is required.
9
If you have any social media accounts/handles, please list all HANDLES/USERNAMES below (Facebook, X, Snapchat, Instagram, TikTok, etc.)* This field is required.
10
Have you ever been a part of or pledged another Fraternity? If yes, please list the name of the Fraternity and the reason for leaving.* This field is required.
11
What is your availability? Please list days and times.* This field is required.
Huge
Large
Normal
Small
Ok
Ok
12
Omicron Nu Epsilon Fraternity Incorporated is a community service-based organization. We love serving our community and want brothers who feel the same. Can you commit to community service?* This field is required.
13
What does brotherhood and community service mean to you? * This field is required.
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Large
Normal
Small
Ok
Ok
14
Signature* This field is required.
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