Greek Life Membership Acceptance Form

By completing and signing this form, you are officially joining a fraternity or sorority at Campbell University. All registered fraternities and sororities provided the office with a list of those eligible to sign this form. Upon receiving that list and completion of this form, you will be added to the organizations roster.

Verification Information

Contact Information:

First name:

Middle Initial:

Last name:

Email address:

Phone number:

Address:

City:

State:

ZIP:

ID Number:

Year in school: Select One

1st year student regardless of credit hours Sophomore Junior Senior

I have accepted membership to the following organization: (select all that apply):

Delta Phi Epsilon Sigma Alpha Sigma

Membership Acceptance Agreement

I hereby consent to the release of my enrollment status, grade point averages (cumulative and previous semesters), and conduct records to the chapter president, judicial chair, new member educator, chapter advisors, Inter/National headquarter staff, faculty/staff member advising fraternities and sororities, and Student Life staff. The purpose of this disclosure is to verify eligibility of continued membership, verification of achievement of the chapter’s academic and behavioral standards, awards recognition, and for use in chapter programming.

To provide for the safety and well-being of all members of the University community and to insure that the University is able to fill its mission, functions, purposes, and processes, the University prohibits students from engaging in behaviors that violate the University Bulletin, Student Handbook, and/or the Greek Life Statement of Policies.

This agreement shall remain in effect as long as I remain a member of the designated fraternity/sorority on this form and as long as I am enrolled at Campbell University, unless I submit an Altered Membership Status Form to the Greek Life Office.

By checking “I agree”, I am authorizing the release of the above information and stating that I understand the policies in which I am held accountable as a student of Campbell University and as a member of the Greek Life Community.

[ ] I agree

______

Signature Date