Name
*
First Name
Last Name
Email
*
Date of Birth
*
MM
DD
YYYY
Home Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Are You a US Citizen?
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Yes
No
Marital Status
*
Do you have children?
*
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Yes
No
If you answered yes, how many children do you have?
Are you currently employed?
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Yes
No
Name of Employer
Position Title
Date of employment
MM
DD
YYYY
What is your general work schedule at this job/business??
Ex. Monday through Friday from 9am to 5pm
If you have more than one employer, please state the employer/business, position title, date of employment, and general work schedule.
Have you ever been convicted of a crime (Felony or Misdemeanor) other than a minor traffic violation?
*
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Yes
No
If yes, please explain the circumstances.
Did you graduate high school?
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Yes
No
Degree earned
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Diploma
GED
Other
Did you attend a college or university?
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Yes, attended
Yes, currently attended
No
What was your major?
Date graduated
MM
DD
YYYY
If you answered yes above, list the colleges/universities you are or have attended.
Please include the city and state.
Are you currently attending a college or university?
*
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Yes
No
If you are currently enrolled, please list your classification, major(s), and minor(s).
Do you have any special training or certifications?
*
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Yes
No
If yes, state your trainings or certifications
Are you in the military or have you served in the military?
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Yes
No
If yes, which branch?
How long have you served thus far or in total?
Current position/status
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Active
Inactive
Discharged
Date of discharge
MM
DD
YYYY
Do you have any physical or mental disabilities, or medical conditions that may present limitations or affect your ability to participate in Fraternity sponsored or Community events?
*
If yes, please explain
Do you go to church or regularly attend a place of worship?
If yes, please state where and the general days and times.
Do you regularly participate in a ministry at your place of worship?
If yes, please state a position or title you hold.
What are your time demands or other obligations to your family, employer, business, church or organizations?
Do you own a vehicle that is reliable for transportation?
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Yes
No
Do you hold, or have you ever held, membership in another organization of the National Pan-Hellenic Council Inc. (NPHCI) or Pan-Hellenic Conference Inc.?
If yes, please state the name of the organization and for how long.
Are you an active member or have ever been a member of the Masons?
If yes, what lodge do you hold or have held affiliation?
Are you an active member or have been of any non-collegiate service organization?
If yes, please state which organization.
Have you ever been affiliated with Sigma Lambda Xi Fraternity, Inc. during any of the past intake phases?
If yes, why were you not initiated?
Have you recently applied or requested an application to any Greek or non-collegiate organization?
If yes, which organization(s)?
Have you participated in any Community Service Project(s)?
If yes, please state the organization name.
What is your shirt size?
*
What size jacket do you wear?
*
What is your height?
*
Please provide links to your social media profiles.
*
Facebook, Instagram, LinkedIn, etc.
Please list any special skills that you have which may be beneficial to the organization.
Please list any special interests you have.
*
Art, Music, Drama, Writing, etc.
Why are you interested in membership with Sigma Lambda Xi Fraternity, Inc.?
*
Please be detailed.
I understand that an incomplete application form that is not accompanied by the required supplemental documentation will be considered null and void.
*
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Yes, I understand.
I understand that all materials and information submitted becomes the property of Sigma Lambda Xi Fraternity, Inc.
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Yes, I understand.
I authorize any person(s) or organization(s) to supply information that is required by Sigma Lambda Xi Fraternity, Inc.
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Yes, I authorize.
If yes, I hereby certify that all statements made herein, and on any attachments, are true and correct to the best of my knowledge.
*
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Yes
