College Admissions Form

Kappa League membership APPLICATION

St. Augustine (FL) Alumni Chapter
Youth Name

First NameMiddle InitialLast Name
Youth Birth Date

MonthDayYear
Youth Phone
Format: (000) 000-0000.
Youth E-mail Address
example@example.com
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current School
GPA
Grade Level
Shirt Size
Parent/Guardian Name

First NameLast Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email
example@example.com
I wish to participate in the St. Augustine (FL) Alumni Chapter of Kappa Alpha Psi Fraternity, Incorporated, Guide Right - Kappa League Program. I promise to uphold honorable and moral conduct, integrity, and civic responsibility. I also agree to obey the rules of the Kappa League program, the policies of my school, and the ethical standards of my community at large.

In the event that I engage in any questionable conduct that is detrimental to the program, my school, or community at large, I can/will be removed from the Kappa League program and will no longer hold membership, participate, or have association with the Kappa League program.
Applicant/Youth Signature
Parent Signature

List any student organizations/clubs you participate in
List any sports/athletics you participate in
Community Involvement - List any honors, awards, and achievements you have received
List any volunteer experience, community service, extra curricular activities, or organizations you are involved in

Kappa League membership APPLICATION