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Fraternity Leaders Academy Registration

Registration for the Fall 2010 Fraternity Leadership Academy must be completed by Monday, September 6th. You are also required to print and sign a liability release form which can be found on the home page of the website.
 
First Name: * required
Usually go by:  
Last Name: * required
Fraternity (use full spelling, e.g. Alpha, Beta, etc.): * required
Cell Number: * required
Official Email Address: * required
Hometown and State: * required
High School: * required
Year of High School Graduation: * required
Semester/Year Initiated into Fraternity: * required
Anticipated Year of Graduation: * required
Academic Major(s): * required
Are you currently living in your chapter house? : * required
T-Shirt Size: * required
High School Activities (including leadership positions and employment): * required
Fraternity Offices/Positions Held: * required
Campus Activities (other than fraternity): * required
Currently working? (If yes, where and hours/week?): * required
Type in the validation code below.
   
 
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you submit stays with us unless otherwise noted above.