NPHC Fraternity and Sorority Application

A form to apply for fraternity and sorority membership intake or recruitment.

Name (First & Last)*
Student ID Number (T number)*
Group for which I am applying*
Classification*
Transfer Student?*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*

UA Little Rock email only
Phone*
High School*
High School Year Graduated*
High School GPA
High School Activities and Honors
College Major*
College Activities and Honors
Have you ever been initiated into a national fraternity or sorority?*
Which organization?*
What year?*
Relatives in Sororities or Fraternities (Include Name, Relation, Organization, and College)
Date
Date Format: MM slash DD slash YYYY
I authorize the Student Experience Center to verify and release my academic records for the purposes of fraternity/sorority recruitment or membership intake.*
Email
This field is for validation purposes and should be left unchanged.