Eta Mu Chapter of Sigma Chi at Eastern Illinois - Potential Member Questionnaire

Potential Member Questionnaire

Full Name(*)
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Home Address(*)
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City, State(*)
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Zip(*)
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Campus Address(*)
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City, State(*)
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Zip(*)
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High School(*)
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High School GPA
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Year in College
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College GPA
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List Scholastic Honors
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List Leadership Experience
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List any Community Service Experience
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List Talents and Activities
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Why are you interested in becoing a member of Sigma Chi?
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List two other references (i.e. Teachers/professors, mentors, employers, activity chairman)

Reference 1
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Name
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Phone
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Reference 2
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Name
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Phone
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