Eastern Kentucky University Alumni Association Information Sheet
Please Print EKU ID#______
Name Preferred First First Middle Last Other names under which records may be listed
Home Address Street
City State Zip
Phone ( )
Martial Status: M S Spouse Name Spouse EKU Grad? Yes No Year
If EKU Grad, Spouse Name at Graduation Spouse EKU ID
Graduation Class: Spring Summer Fall Year
Degree received from EKU Please list name at time each degree was received
Current College: Major Degree Name
Please list other degrees received form EKU Previous Degree Major Degree Name
Previous Degree Major Degree Name
Please give parents’ address and one other persons’ address who will always know how to contact you
Referral’s Name Referral’s Name
Address Address
City State Zip City State Zip ( ) ( ) Phone Relationship Phone Relationship
Signature Date
Please See Other Side
Please review the list below and circle the codes for the activities you participated in during your years at Eastern Kentucky University so that we can notify you of special interest groups’ reunions EKU Activities and Organizations Fraternities 541 Bahai Club 700 Interfraternity Executive Council (IFC) 857 Rock Climbing Club 400 Alpha Phi Alpha 542 Band 705 Interdorm/ Men’s/ Women’s/ Resident’s 855 Rugby Club 401 Beta Theta Pi 543 Baptist Student Union Hall 825 SNEA 402 Delta Upsilon 544 Barrister’s Society 708 Interfaith Counsel/ United Campus 865 Scabbard & Blade 403 Kappa Alpha 545 Bat Girls Ministries/ Pi Tau Chi 866 Science Club 404 Kappa Alpha Psi 546 Biology Club 707 International Student Assoc. 867 Semper Fidelis/ Fi Club 405 Lambda Chi Alpha 547 Black Student Union 710 Intramural Sports 900 Sigma Alpha Iota 406 Omega Psi Phi 548 Bluegrass Scouting Alliance Club 709 Iota Lambda Sigma 870 Sigma Delta Gamma 407 Phi Beta Sigma 549 Bowing Club 720 Judo Club/ Ichiban Judo Club 868 Sigma Delta Pi 408 Phi Delta Theta 551 Breakaway Bicycle Club 739 KYMA 896 Sigma Gamma Epsilon 409 Pi Kappa Alpha 505 Broadcasting 730 Kappa Delta Pi 649 Sigma Lambda 410 Phi Kappa Tau 552 Brockton Residents Assoc. 731 Kappa Delta Tau 901 Sigma Lambda Chi 411 Sigma Alpha Epsilon (BOG) 550 Business Club 732 Kappa Iota Epsilon 902 Sigma Pi Sigma 412 Sigma Chi (BOX) 596 CDF/ Child Development & Families Club 733 Kappa Kappa Sigma 869 Sigma Tau Alpha 413 Sigma Nu (Sigma Chi Delta) 575 Caduceus Club 734 Kappa Mu 578 Sigma Tau Delta 414 Sigma Pi 576 Campus Crusade for Christ 735 Kappa Mu Epsilon 903 Sigma Theta Tau/ Theta Nu 415 Tau Kappa Epsilon 577 Campus Girl Scouts 510 Kappa Pi 871 Soccer Club 416 Theta chi 578 Canterbury Club 736 Kappa Tau Alpha 872 Social Science Club Sororities 598 Canterbury Fellowship (Episcopal) 584 Karate Club 873 Social Work Club 430 Alpha Delta Pi 579 Catalina Club 740 Kentucky Council on Crime & 811 Society for Advancement of Management 431 Alpha Gamma Delta 580 Catholic Newman Center/ Newman Club Delinquency 904 Society for Human Resource Management 432 Alpha Kappa Alpha 581 Cave Club 738 Kentucky Intercollegiate State Legislature 874 Society for Collegiate Journalists 441 Alpha Omicron Pi 592 Cheerleader 750 Lambda Sigma Society (CWENS)/ OAKS 875 Society of Manufacturing Engineers 433 Chi Omega 582 Chemistry Club 751 Latter Day Saints 876 Society of Physics Students 434 Delta Sigma Theta 595 Chess Club 752 Libertarians 877 Society of Professional Journalists 435 Delta Zeta 593 Chi Alpha 753 Little Colonels Drill Team 878 Softball Club 436 Kappa Alpha Theta 583 Choir 754 Little Colonels Dance Team 879 Soil Conservation Society of America 437 Kappa Delta 584 Chosen Cats/ Karate Club 508 Little Theatre 881 Spanish Club 438 Phi Mu 585 Christian Student Fellowship 755 Lutheran Student Fellowship 882 Sports Officiating Club 439 Pi Beta Phi 586 Circle K 771 MBA Association 883 Student Alumni Ambassadors 440 Zeta Phi Beta 587 Ciruna Club 775 MENC? SMENC (Music Educ. Nat. 897 Student American Dietic Assoc. 442 Alpha Chi Omega 589 College 4-H Conf.) 880 Student Assoc. Varsity Sports Teams 599 Collegiate Music Educators National 781 MT-MLT Club 884 Student Assoc. 474 Men’s Basketball 800 Colonels for Christ 770 Majorettes 885 Student Assoc of Legal Assistants 475 Baseball 588 College Republicans 514 Marketing Assoc. 886 Student Assoc. of General Contractors 477 Cross Country 590 Collegiate Pentacle 772 Math Club 887 Student Council for Exceptional Children 478 Field Hockey 591 Commerce Club/ Sigma Tau Pi 774 Med Assisting Tech Assoc. 888 Student Emergency medical Care Assoc. 479 Football 597 Conquerors Through Christ 685 Med Assisting Tech Assoc. (SEMCA) 480 Golf 594 Council on International Affairs 781 Med. Tech./ Med Lab Tech 905 Student health Advisory Committee 481 Gymnastics 610 Dance Orchestra 782 Messiah Chorus 889 Student Grotto 842 Rifle Team 611 Dare Us 777 Milestone 885 Student Medical Records 483 Swimming & Diving 612 Data Processing Management Assoc. 778 Miller-Beckham-McCreary Council 890 Student Ministries Council 484 Tennis 617 Delta Chi 779 Mortor Board 775 Student Music Educators National 485 Track 613 Delta Omicron 780 Moslem Society Conference (SMENC) 486 Volleyball 614 Delta Psi Kappa 542 Music Club 891 Student Environmental Health Assoc. 487 Wrestling 615 Delta Sigma Rho 795 National Student Speech-Language- 797 Student Nurses Assoc./ Nurses 488 Women’s Basketball 616 Delta Tau Alpha Hearing Assoc. 892 Student Occupational Therapy Assoc. Student Organizations (RSO’s) 618 Disciple Student Ministry 796 The Navigators 893 Student Paralegal Assoc. 501 Accounting Club 508 Drama Club 797 Nurses/Student Nurses Assoc. 894 Student Senate 502 African Student Assoc. 631 E Club/ Varsity “E” Club 811 Omicron Alpha Kappa 895 Student Social Work Assoc. 503 Agriculture Club 630 Eastern Dance Theater/ Dance Club (Drum 812 Omicron Delta Epsilon 898 Student Sociology Assoc. 504 Alpha Delta Kappa & Sandal) 542 Orchestra 899 Students for Christ 505 Alpha Epsilon Rho 635 Equestrian Club 819 Panhellenic Exec. Council (PH) 733 Swimming Club Kappa Kappa Sigma 528 Alpha Eta Rho 633 Eta Sigma Gamma 820 Pershing Rifles 615 Delta Sigma Rho-Tau Kappa Alpha 506 Alpha Nu 634 Explorer’s Club 821 Phi Alpha Theta 825 Teachers Club 507 Alpha Phi Sigma 652 FTD-Horticulture Club 550 Phi Beta Lambda 912 Technology Education Club 508 Alpha Psi Omega 645 Fellowship of Christian Athletes 840 Phi Delta Kappa 910 Textiles Clothing & Fashion 510 Alpha Rho Tau/ Art Club 646 Fencing Club 822 Phi Epsilon Kappa 508 Theater Club 509 Alpha Sigma Upsilon 647 Finance Club 823 Phi Kappa Phi 911 Trap & Skeet Club 529 American Advertising Assoc. 632 Folk Dance Club 824 Phi Mu Alpha- Phi Mu Alpha Sinfonia 923 UP Club 535 American College of Health Care 648 Food & Nutrition Club 825 Phi Omega Phi 924 University Center Board Administration 649 Foreign Language Club/ Sigma Lambda 826 Phi Sigma Society 951 United Methodist Wesley Foundation 511 American Chemical Society 650 French Club 827 Phi Upsilon Omicron 921 University Pals 512 American Home Economics Assoc. 651 Frisbee club 828 Philosophy Club 583 University Songfest Choir 513 American Institute of Design & Drafting 665 Gamma Beta Phi 49 Phonathon Volunteer 925 Upsilon Pi Epsilon 530 American Institute of Constructors 666 Gamma Iota Sigma 829 Photo Club 940 Valianettes 514 American Marketing Assoc. /Marketing 667 Gamma Theta Upsilon 830 Physical Education major/ Minor Club 509 Veterans Club Assoc. 668 Geography, Planning, & Transportation 841 Physics Club 941 Volleyball Club 515 American Society of Interior Designers Club 832 Pi Omega Pi 950 Wargames Unlimited 516 American Society for Safety Engineers 669 Geology Club 833 Pi Sigma Alpha 951 Wesley Foundation/ United Methodist 532 Americans for Biblical Gov. 672 German Club 834 Pi Tau Chi Campus Center 517 Archery Club 673 Golden Key International Honor Society 842 Pi Theta Epsilon 952 Westminster Fellowship 533 Arnold Air Society 670 Gospel Ensemble 835 Pre-Veterinary Student Assoc. 953 Wildlife Society 518 Art Student Assoc. 674 Graduate Gov Student Assoc 836 Progress 955 Women’s Recreational Assoc. 531 Asian Students International Assoc. 675 Graphic Arts Club 837 Psi Chi & Psychology Club 872 World Affairs Club/ Social Science Club 519 Associate Degree Nursing Assoc. 676 Great Commission Students 838 Psychology Graduate Students 956 Wrestling Club 520 Assoc. for Childhood Education 671 Guild Gaming Society Organization 969 YMCA 521 Association for Computing Machinery 686 Home Economics Club 839 Public Relations Student Society of 970 Young Democrats 522 Assoc. of Fire Science Tech. 687 Honor Society of Nursing Officers America 588 Young Republicans 523 Assoc. of General Contractors 689 Human Development & Family Relations 853 ROTC Others: 536 Assoc. of Independent Construction 701 Industrial Arts Club 850 Racquetball Club 524 Assoc. of Law Enforcement 702 Industrial Educ. Tech 851 Ranger Club 534 Assoc. of Returning Students 703 Institute of Electrical & Electronics 852 Recreations Club 525 Assoc. of Security & Loss Prevention Engineers 705 Residence Hall Assoc. 526 Athletic Hostesses 719 Institute of Bus. Designers 858 Residents Against Drunk Drivers 527 Athletic Trainer’s Club 704 Insurance Society 854 Rho Epsilon 540 Baccalaureate Students Nursing Assoc. 708 Inter-Varsity Christian Fellowship 856 Richmond Micro Computers Users Club