Baldwin Wallace University NPHC Interest Form

First Name *

Last Name *

BW ID # *

Email Address *

Cell Phone (please include area code) *

What chapter are you interested in learning more about? (Check all that apply.) *

Alpha Phi Alpha Fraternity, Incorporated (City-Wide)

Alpha Kappa Alpha Sorority, Incorporated (City-Wide)

Kappa Alpha Psi Fraternity, Incorporated (City-Wide)

Omega Psi Phi Fraternity, Incorporated (City-Wide)

Delta Sigma Theta Sorority, Incorporated (City-Wide)

Zeta Phi Beta Sorority, Incorporated (BW)

Sigma Gamma Rho Sorority, Incorporated (BW)

Iota Phi Theta Fraternity, Incorporated (City-Wide)

What gender do you identify as *

How Many Semesters have you COMPLETED at BW? *

Class Year *

IMPORTANT: YOU MUST READ & AGREE TO THE FOLLOWING TERMS BEFORE SUBMITTING THIS FORM!

ACADEMIC RECORD RELEASE: I understand that to become a member of a chapter, I must be a regularly enrolled, full-time student in good standing with Baldwin Wallace University. Additionally, I understand that I must have earned a cumulative GPA equal to, or better than, high school GPA of 3.0 or college GPA of 2.5 I authorize Baldwin Wallace University's Student Life Center staff to verify my academic eligibility. I must also be informed that my academic records will be released to the Chapter President and Chapter Advisor for each semester that I am a member of an organization.

By marking a check in the box, I agree to the Academic Record Release Terms and give the Student Life Center staff permission to verify my academic and conduct eligibility. *

I agree

INFORMATION DISCLOSURE: By submitting the form, I agree to the terms and conditions listed above and allow my registration information to be made available to the Baldwin Wallace University fraternity and sorority chapters as part of the intake process.