Fraternity and Sorority Recruitment Registration Form

* indicates required fields

* Gender: Please Select Male Female  

* Student ID:

* First Name:

* Last Name:

Preferred Name:

* Phone:

* E-mail:

* Local Address:

Hometown:

Relatives who are members of fraternal organizations:
 

Interests:
 

* I am interested in being recruited by the following type(s) of organization(s) (Please check all that apply):

By initialing on this form I verify that I have read and understand the Monmouth University Anti-Hazing Policy. I agree not to initiate or participate in any activities that can be considered hazing.

* Your Initials Here:

Monmouth University Consent to Release Student Records

I do hereby authorize Monmouth University to release to Chapter Presidents, Scholarship Chairs, National Office, Chapter Advisor, and/or Assistant Director of Student Activities for Fraternity and Sorority Life my current and cumulative grade point average for the purposes of determining my eligibility to association with a fraternity at this time, determining my eligibility for scholarships or to hold an elected office, verifying my student status, and to determine my chapter's scholastic performance. I understand that, upon my request, I may obtain a copy of this information for my personal use.

* Your Full Name: