Spring 2013 Fraternity Recruitment Registration Form

Please use the form below to register for fraternity recruitment.  Any potential member must have completed 12 units (including AP or transfer college units) to be eligible to receive a bid.  If you have any questions, contact Nicki Croly, Coordinator of Fraternity & Sorority Life at ncroly@csusm.edu or 760-750-4952.

Basic Information

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First Year
Sophomore
Junior
Senior

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Yes
No

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Please list any organization or leadership positions you have held in the last four years.


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Friends (who are in a fraternity/sorority)
Friends (who are not in a fraternity/sorority)
Family
Orientation Presentation/Tabling
Flyers

Do you have a relative in a fraternity or sorority? If yes, please indicate the relative relationship and which organization (i.e. Father, XYZ Fraternity)


University policy prohibits the release of personally identifiable information from educational records of students without their previous written authorization. Exceptions to this policy include those who have responsibilities in connection with the campus, academic, administrative, or service functions and who have reason for using the student records connected with their campus or related academic responsibilities. Disclosure may also be made to other persons or organizations under certain conditions. I hereby consent the release of my student information. The student information to be disclosed will include: unit count, grade point average (cumulative and previous semester) and the status of any university probation. The purpose of disclosure will be to verify the achievement of minimum academic and membership standards. This authorization shall remain in effect unless a written revocation of this authorization is submitted to the Coordinator of Fraternity & Sorority Life. By selecting "I Agree" below I hereby consent to the release of my student information to Student Affairs Administrators supporting Greek Life, Chapter Presidents, Chapter Advisors, Recruitment Officers, Academic Officers, and National Headquarters Staff of the chapters at CSUSM.

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I agree
I disagree

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