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𝗪𝗛𝗔𝗧'𝗦 𝗨𝗣 𝗕𝗥𝗢𝗦𝗞𝗜𝗘!
25
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1
Brotherly Title
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Code name
First Name
Last Name
Nickname
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2
Cobra Den
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Mailing Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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3
Hatching Date
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Date of Birth
-
Date
Year
Month
Day
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4
Cobra Phone Line
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Reptilian DigitSSS
Please enter a valid phone number.
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5
Venomous Mail
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Active Email Address
Charminshxt@example.com
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6
Vertical STRIKE
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Your height
Ex. 5’3
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7
Nest of Knowledge
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Are you currently attending College or a University?
If so, Where ?
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8
Employment Coil
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Are you employed Full-Time or Part-Time? Occupation?
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9
KOMmunication Fangs
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What phone type do you have for video communications?
Please Select
iPhone/FT
Android/GoogleMeet
Please Select
Please Select
iPhone/FT
Android/GoogleMeet
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10
Venomous enerG #1
*
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Besides brotherhood, Why do you want to Join Kappa Theta Mu Fraternity, Inc. ?
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11
Venom enerG #2
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What attributes do you have that you can actively contribute to the Fraternity upon completion of pledging?
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12
Venom enerG #3
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Do you have any talents
Dance, Sing, Step etc.
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13
Venom enerG #4
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Have you ever joined another LGBT organization before ? If so, what organization? Why did you leave ?
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14
Venom enerG #5
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Being apart of any Fraternity/ Sorority requires its members LIFELONG contributions. Are you financially independent and stabled to fulfill your obligations of Membership fee, dues and events that we have periodically?
YES
NO
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15
Venom enerG #6
*
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Where do you see yourself in 2 years within this organization?
Ex. Holding a GENTeral position
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16
Venom enerG #7
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List ALL Social Media: YOUR NAMES as it would appear on each platform
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17
Venom enerG #8
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In your opinion, what are the key elements of a strong and supportive brotherhood within a fraternity? How would you contribute to fostering this environment?
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18
Venom enerG #9
Can you uphold the financial obligations of this organization as well as in your personal life ?
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19
KOMmitment Scale
*
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When joining ANY Greek Letter Organization, it is essential to have a deep level of dedication and commit a considerable amount of time. Can we count on you to give your absolute best effort? Additionally, please be aware that your loyalty will be thoroughly evaluated and 𝗧𝗘𝗦𝗧𝗘𝗗 to ensure your commitment to taking this process and bruhhood seriously. We are OFFICIALLY ready to begin NESTING Dec 2026. SEASON: 𝗪𝗜𝗡𝗧𝗘𝗥(Feb) or 𝗦𝗨𝗠𝗠𝗘𝗥 (Aug)2027 can you wait until then? And able to SAVE to start? 🤔🤫😎 let’s test your loyalty.
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20
Fit for a 𝗞𝗜𝗡𝗚
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Please provide your preferred pants size for fraternity 𝗣𝗥𝗢𝗕𝗔𝗧𝗘 𝗔𝗧𝗧𝗜𝗥𝗘
Ex. 36x30 or 36
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21
𝗦𝗧𝗘𝗣𝗣𝗜𝗡𝗚 into Brotherhood
*
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Kindly share your shoe size for fraternity 𝗣𝗥𝗢𝗕𝗔𝗧𝗘 𝗔𝗧𝗧𝗜𝗥𝗘
Ex. Men 9
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22
Wear your 𝗣𝗥𝗜𝗗𝗘
*
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We'd like to know your shirt size to ensure a proper fit for fraternity 𝗣𝗥𝗢𝗕𝗔𝗧𝗘 𝗔𝗧𝗧𝗜𝗥𝗘
Ex. XL,2XL
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23
Do you struggle with your Mental Health or Mental disability
*
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Anything that the brothers would need to know in order to help during pledging process if possible.
YES
NO
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24
Season you’re interested in pledging
Please Select
Winter (Feb)
Summer (Aug)
Please Select
Please Select
Winter (Feb)
Summer (Aug)
Choose wisely
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25
Capture Your Cobratic Essence
*
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Must be a 𝗙𝗨𝗟𝗟 𝗕𝗢𝗗𝗬 picture. No picture denied application.
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