Fall Recruitment Form

PHI DELTA THETA - SUMMER RECRUITMENT FORM

This form was created for those interested in going through Fall '26 Recruitment at Mississippi State University. We have published this to get feedback on our Summer Rush events in regards to availability, interest, and contact information for the fall.

Name

First NameLast Name

Phone Number

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

Snapchat

snap: holdenca22

Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Instagram Handle

Check all of the following you are available and interested in attending

Your Orientation Date

If you know your date fill it in here

If you have any further questions or anything at all, feel free to leave them below or contact our head rush chairman Holden Joorfetz, 601-906-8587.

Just Leave N/A if you don't have anything