Interest Application | kappalambdaepsiloninc.org

Name *

Email address *

Birth Date *

Address *

Phone Number *

Emergency Contact *

Are you currently a member of a fraternity within the Divine Nine? *

Yes
No

Have you ever been a member of another fraternity? *

Yes
No

Have you ever been convicted of a crime other than a misdemeanor traffic offense? *

Yes
No

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