Membership Recruitment Registration Form
There is a $10 registration fee for recruitment

Name ____________________________________________________________________ Date ___________________

Name You Wish to be Called __________________________________________________________________________

Permanent Home Address____________________________________________________________________________

Home Phone__________________________________________________________________ Age_________________

Campus Address___________________________________________________________________________________

Campus Phone______________________________________ E-mail __________________________________________

Parent/Guardian Names_______________________________________________________________________________

Parent/Guardian Address_____________________________________________________________________________

High School_________________________________________ High School GPA________________________________

High School Activities and Honors______________________________________________________________________

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Status as of Fall 2003 (circle one)                      Freshman                 Sophomore                Junior                Senior

Have you attended Whitman prior to Fall Semester 2003? _________________ If yes, when_______________________

Areas of Interest (major)_______________________________________________________________________________

Talents and hobbies__________________________________________________________________________________

__________________________________________________________________________________________________

College Activities and Honors___________________________________________________________________________

__________________________________________________________________________________________________

List colleges attended other than Whitman if applicable _______________________________________________________

List female family members affiliated with a sorority including: Name/Relation/Sorority/College _____________________

__________________________________________________________________________________________________

__________________________________________________________________________________________________

Are you going to have time conflicts with formal recruitment and need to attend alternative recruitment?  _____________

List conflict dates/times _______________________________________________________________________________

TO BE COMPLETED BY PANHELLENIC          CASH _____     CHECK _____