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Name (First and Last)
Email
Phone Number
Year in School (freshman, sophomore, junior, or senior)
Organizations you are interested in receiving information from
Alpha Kappa Alpha (Historically Black Sorority)
Alpha Phi Alpha (Historically Black Fraternity)
Delta Sigma Theta (Historically Black Sorority)
Kappa Phi Lambda (Asian Interest Sorority)
Kappa Alpha Psi (Historically Black Fraternity)
Omega Psi Phi (Historically Black Fraternity)
Sigma Lambda Gamma (Multicultural Interest Sorority)
Sigma Lambda Beta (Latino Interest Fraternity)
Zeta Phi Beta (Historically Black Sorority)
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