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First Name* |
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Last Name* |
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Street Address* |
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| City* |
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| State* |
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| ZIP Code* |
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| Email Address |
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| Phone Number |
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| Cell Phone Number |
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| Birthday (mm/dd/yy)* |
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| High School Name* |
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| High School Location* |
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| Graduation Year* |
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| GPA* |
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| Universities you plan to attend |
| Primary Choice* |
Name other |
Secondary Choice |
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Third Choice |
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| Previous College attendance |
| School Name / Location |
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| Hours Completed |
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| GPA |
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| Activities, Interests, and Work Experience |
| High School activities, clubs, honors, offices, etc.* |
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| Community / Volunteer activities* |
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| Interests, hobbies, work experience* |
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| Parent's Information |
| Father's Full Name* |
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| Father's Address* |
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| Mother's Full Name* |
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| Mother's Maiden Name* |
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| Mother's Address* |
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| |
| Release Statement |
| I
have provided the information above at my discretion to theEl Paso Alumnae
Panhellenic Association, to be released to member sororities as a new member recruitment information resource. No Evaluation of any kind shall be made by the El Paso Alumnae Panhellenic Association on the basis of this data. |
Optional Sorority Connection/ Legacy Information
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First Name |
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Last Name |
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High School |
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College Attending |
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Home Phone |
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Cell Phone |
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Name(s) of relative(s) who are members of a national sorority:
Last Name • First Name • Maiden Name • Sorority • Relationship to You
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| Member Name |
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Relatives’ Address
(if known) |
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