Membership Application Form
To be considered for Membership please fill out the application completely. This will start your process to become a member of Omega Alpha Xi Christian Sorority Inc.
Name
*
First Name
Last Name
Date of birth
*
MM/DD/YY
Please list your maiden or any other former last names
*
If this does not apply, please type "does not apply"
Are you 18 years or older?
*
Please Select
Yes
No
Proof of age will be required to process your application.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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E-mail
*
example@example.com
Cellular Number
*
Work Number
How did you hear about Omega Alpha Xi Sorority Inc.
*
Are you married?
*
Please Select
Yes
No
If so how long and Spouse's name
Do you have children?
*
Please Select
Yes
No
If so, how many?
Are you gainfully employed?
*
Please Select
Yes
No
Job Title
*
How long have you been employed with this employer
*
Do you have a degree or are you currently working on a degree?
*
Please Select
Yes
No
Please explain your educational degrees (if any) and your current job position. If this does not apply type N/A.
*
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Are you currently or have you been apart of another organization? If so please list organization(s) and your current status with the organization(s). If you are no longer a part of an organization please list reason why.
*
Have you already or are you able to attend a "Diamonds Talk Meet & Greet" If given proper notice?
*
Please Select
Yes
No
What will make you an asset to Omega Alpha Xi Sorority Inc.?
*
Why did you choose to apply to become a member of Omega Alpha Xi Sorority Inc.?
*
What are your hobbies and interests?
*
Please Take a Photo (Applications without a photo will not be processed)
*
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Confidentiality
This information is used to see how we can better accomadate you if necessary.
Do you have any physical limitations?
Please Select
yes
no
If yes please list limitations
Do you have any history with mental illness?
Please Select
yes
no
If yes please list illness
Do you have any allergies?
Please Select
yes
no
If yes please list allergies
Do you have any medical conditions?
Please Select
yes
no
If yes please list any other medical conditions
Do you have any learning disabilities?
Please Select
yes
no
If yes please list them
Type a question
Please Select
Are you following a special diet? if yes please list below
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Acknowledgement
*
I acknowledge and agree that the date of this application is the start of the process to become a member of Omega Alpha Xi Christian Sorority Inc. I further give consent for Omega Alpha Xi Sorority Inc. to perform the necessary background check to start the membership process. I also understand that any payments made to Omega Alpha Xi Sorority Inc. are not refundable and are not transferable.
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Application Fee & Background Check
This fee covers The administrative fee for your application as well as your background check, All fees are nonrefundable.
$
75.00
Credit Card
Signature
*
Date
*
-
Month
-
Day
Year
Date
Apply for Membership
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