First Name
Last Name
Street Address
City
State
Zip
E-Mail
Phone Number
Please tell us why you are interested in joining our Fraternity:
Community Service/Philanthropy
Social Connection
Sports
Brotherhood
Values
Scholarship
Women!
Friend
Party
Flyers
Rush
Other
If you checked other above, please explain:
Are you a legacy of Sigma Chi?
Yes
No
What is your student status at western?
Freshman
Sophmore
Junior
Senior
Do you need any transportation to our rush events?
Yes
No