Fall 2012 Rush Information
This form is designed to obtain information about you and to give you the opportunity to find out more info about the TKE Fraternity at Valdosta State
University.
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| First Name * |
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| Last Name * |
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| School |
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| Street Address |
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| Address Line 2 |
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| City |
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| State / Province / Region |
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| Postal / Zip Code |
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| Country |
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| Dorm * |
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| Room Number |
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| Phone (Best way to reach you) * |
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| Email |
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| Home Town |
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| High School |
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| Age |
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| Currently I am... |
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| Anticipated Major |
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Section Break
A description of the section goes here.
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| Are you a Legacy? |
Check if Yes
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| Legacy's College |
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| How interested are you in joining a fraternity? |
I definitly
want to join TKE
I
definitely want to join a fraternity
I'm not sure if I want to join anything yet
I'm just browsing
for now
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| Any questions you would like answered |
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| Comments |
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| Image Verification |
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