EmailMe Form - Phi Sigma Sigma, CSU Stanislaus

Phi Sigma Sigma, CSU Stanislaus
National Sorority Information and Involvement Form

Name *

Prefix

First *

Last *

Suffix

Date of Birth *

CSU Student ID # (ie 002#) *

Mailing Address *

Street Address *

Address Line 2

City *

State / Province / Region *

Postal / Zip Code *

Country *

Phone Number *

###

####

Email *

High School/Previous College Attended *

GPA *

High School Graduation Date *

Current Year in School *

Major/Minor *

College GPA *

High School/College Activities *

Sorority Affiliation

Do you have a mother, sister, or grandmother affiliated with a National sorority?

If yes, her full name (include maiden name)

Prefix

First

Last

Suffix

University/College she attended

Sorority Affiliation

Relationship to you

I verify that the above information is accurate and I understand any fabrication of information may jeopardize membership.
I authorize access to my grades to Phi Sigma Sigma, Theta Mu Chapter.

Signature

Date

YYYY

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Questions? Contact: Julie Turney, Membership Recruitment Chair at (707) 362 0129, csuspss@live.com or the Office of Student Leadership and Development at (209) 667 3778, studentactivities@csustan.edu