Professional Documents
Culture Documents
Fraternity Recruitment Registration
Fraternity Recruitment Registration
PERSONAL INFORMATION
Name: Blackboard Username:
Preferred Name:
Home/Permanent Address:
Campus/Local Address:
Residence Hall & Room #: Email address:
Campus/Local Telephone #: ( ) - Cell #: ( ) -
ACADEMIC INFORMATION
Class Year Classification (circle one): First-year Sophomore Junior
Senior
Major: Minor:
Quinnipiac University cumulative GPA: Total completed credits:
Are you a transfer student?:
If yes, please list previously attended institution(s):
INVOLVEMENT INFORMATION (You may use the back of this sheet if necessary.)
Please list all high school & college activities:
FRATERNITY INFORMATION
Have you ever been a member of a national collegiate fraternity/sorority?
If yes, which one? Where?
Date joined: Date terminated:
Please list any immediate family members in fraternities (including uncles and grandfathers)
Name Relationship Fraternity
Name Relationship Fraternity
Signature: Date: