NPHC Fraternity and Sorority Application

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

"*" indicates required fields

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*

This field is hidden when viewing the form

High School*

High School Year Graduated*

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High School GPA

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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

I authorize the Student Experience Center to verify and release my academic records for the purposes of fraternity/sorority recruitment or membership intake.*

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Comments

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