Personal Information

*UCF PID:

*Date of Birth:

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*Last Name:

*First Name:

*Email Address:

*Preferred Address:

Address Line 2:

City:

*State:

*Zip Code:

*Phone Number:

- - x

Academic Information

*High School GPA:

Overall College GPA:

*College Classification:

Involvement Information

List Involvement:

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Please list 3-5 of your activities, awards/honors, or accomplishments that best describe your character.

*Have you ever pledged a collegiate fraternity?:

*If so, Which one?:

Important, Please Read and Sign Below.

I hereby release all of the above information to the Interfraternity Council and all member organizations to be used for recruitment purposes only. I also give permission for the Office of Fraternity and Sorority Life to verify my academic status and any scholastic averages/grades/test scores. If I should pledge, I do agree to allow the Office of Fraternity and Sorority Life to release any of my academic information to my fraternity and the UCF Interfraternity council as long as I am enrolled at UCF and a member of a fraternity.

*Digital Signature:

Please write your first and last names to serve as your digital signature.

*Date:

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