Application for Membership
First Name
Middle Name
Last Name
Preferred First Name
Maiden Name (if applicable)
Suffix (if applicable)
Jr
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II
II
IV
V
Current Mailing Address
City
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Zip
Email
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Name of Parents or Nearest Relative
Address of Parents or Nearest Relative
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STATISTICAL INFORMATION
Social Security Number (optional)
Gender
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Birthdate (mm/dd/yyyy)
Marital Status
(optional)
Single
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Citizenship (optional)
Ethnic Background (optional)
RECORD AT THIS UNIVERSITY
Major
Pre-Business
Business Administration - No Concentration
Business Administration - Accounting
Business Administration - Economics
Business Administration - Entreprenuership
Business Administration - Finance
Business Administration - International Business
Business Administration - ISDS
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Other
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Freshman
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Faculty
Honorary
If Major is other, Please enter the major here
Expected Graduation Year
Are you a member of: Alpha Kappa Psi, Phi Chi Theta or Phi Gamma Nu?
Yes
No
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