Please feel free to fill out this form anytime throughout the year. Our recruitment events will take place during the spring semester.

Name *

Prefix

First *

Last *

Suffix

Email *

Phone Number *

### - ### - ####

Address

Street Address

Address Line 2

City

State / Province / Region

Postal / Zip Code

Country

High School *

GPA (out of 4.0) *

Legacy? *

-YesNo Was your father and/or grandfather a member of Beta Theta Pi?

Have you decided you will be attending K-State? *

-YesNo

Qualifications (School and/or community activities, involvement and awards)

Resume (if desired)

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