Theta Xi - Alpha Iota - Recruitment Form

Recruitment Form

Recruitment Form

Name

Address

City

State

Zip Code

Birth Date

Cell Phone

What High School did you attend?

High School GPA

High School Sports

High School Clubs, Activities, Leadership Positions, etc.

Other Honors

ACT/SAT

Projected Major

Email address

Do you know any members of Theta Xi Fraternity? (Give names)

Date of submission
MMDDYYYY