Name: Email Address: Home Address: City: State: Zip: Home Phone #:
School Address: City: State: Zip: School Phone #: Beta Theta Pi Relatives or Acquaintances: High School Attended: High School GPA: High School Activities:
DU Major: DU GPA: DU Activities: Interests (check all that apply): Please have the Rush Chairman contact me so that I can learn more about your chapter Please have IFC contact me on signing up for Rush