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I want to be a Delta Chi

I want to be a Delta ChiThe joining process can start at any time. If you want to get more information about Delta Chi, please take a few minutes and fill out the form below. Your information will be passed along to the chapter or colony you wish to join. You are also encouraged to contact the chapter directly. If you are considering more than one college or university, please submit a request form for each chapter. Thank you for your interest in the brotherhood of a lifetime.

Potential Member Contact Information

First Name:
Last Name:
University/College:
*please refrain from using abbreviations
Phone Number:
Email Address:
Confirm email address:
Home Mailing Address:
City:
State/Province:
Zip Code:
Country:
Current academic standing:

Potential Member Personal Information:

Major of study:
Minor of study:
Community service involvement:
Hobbies and interests:
Sports played:

Potential Member Family Information:

Father's Name:
Greek Affiliation (If applicable):
Mother's Name:
Greek Affiliation (If applicable):
Other Relatives in Delta Chi:
In the space provided please describe the reasons for your
interest in membership in Delta Chi:

Enter the number you see above in the field below, before submitting the form.