Eastern Kentucky University Alumni Association Information Sheet Social Security Number Please Print 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 Social Security Number Graduation Class: Spring Summer Fall Year Degree receiving 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 Student Organizations Fraternities 542 EKU Band / Marching Band 700 Interfraternity Executive Council (IFC) 857 Rock Climbing Club 400 Alpha Phi Alpha 543 Baptist Student Union 705 Interdorm/ Men’s/ Women’s/ Resident’s 855 Men’s Rugby Club 401 Beta Theta Pi 544 Barrister’s Society Hall Councils 859 Women’s Rugby Club 402 Delta Upsilon 545 Bat Girls 708 Interfaith Counsel/ United Campus 825 SNEA 403 Kappa Alpha 546 Biology Club Ministries/ Pi Tau Chi 865 Scabbard & Blade 404 Kappa Alpha Psi 547 Black Student Union (ABC) 707 International Student Assoc. 866 Science Club 405 Lambda Chi Alpha 548 Bluegrass Scouting Alliance Club 710 Intramural Sports 867 Semper Fidelis/ Fi Club 406 Omega Psi Phi 549 Bowing Club 709 Iota Lambda Sigma 900 Sigma Alpha Iota 407 Phi Beta Sigma 551 Breakaway Bicycle Club 720 Judo Club/ Ichiban Judo Club 870 Sigma Delta Gamma 408 Phi Delta Theta 505 Broadcasting 739 KYMA 868 Sigma Delta Pi 409 Pi Kappa Alpha 552 Brockton Residents Assoc. 730 Kappa Delta Pi 896 Sigma Gamma Epsilon 410 Phi Kappa Tau 550 Business Club 731 Kappa Delta Tau 649 Sigma Lambda 411 Sigma Alpha Epsilon (BOG) 596 CDF/ Child Development & Families Club 732 Kappa Iota Epsilon 901 Sigma Lambda Chi 412 Sigma Chi (BOX) 575 Caduceus Club 733 Kappa Kappa Sigma 902 Sigma Pi Sigma 413 Sigma Nu (Sigma Chi Delta) 576 Campus Crusade for Christ 734 Kappa Mu 869 Sigma Tau Alpha 414 Sigma Pi 577 Campus Girl Scouts 735 Kappa Mu Epsilon 578 Sigma Tau Delta 415 Tau Kappa Epsilon 578 Canterbury Club 510 Kappa Pi 903 Sigma Theta Tau/ Theta Nu 416 Theta chi 598 Canterbury Fellowship (Episcopal) 736 Kappa Tau Alpha 871 Soccer Club Sororities 579 Catalina Club 584 Karate Club 872 Social Science Club 430 Alpha Delta Pi 580 Catholic Newman Center/ Newman Club 740 Kentucky Council on Crime & 873 Social Work Club 431 Alpha Gamma Delta 581 Cave Club Delinquency 811 Society for Advancement of Management 432 Alpha Kappa Alpha 582 Chemistry Club 738 Kentucky Intercollegiate State Legislature 904 Society for Human Resource Management 441 Alpha Omicron Pi 595 Chess Club 750 Lambda Sigma Society (CWENS)/ OAKS 874 Society for Collegiate Journalists 433 Chi Omega 593 Chi Alpha 751 Latter Day Saints 875 Society of Manufacturing Engineers 434 Delta Sigma Theta 583 Choir 752 Libertarians 876 Society of Physics Students 435 Delta Zeta 584 Chosen Cats/ Karate Club 753 Little Colonels Drill Team 877 Society of Professional Journalists 436 Kappa Alpha Theta 585 Christian Student Fellowship 508 Little Theatre 878 Softball Club 437 Kappa Delta 586 Circle K 755 Lutheran Student Fellowship 879 Soil Conservation Society of America 439 Pi Beta Phi 587 Ciruna Club 771 MBA Association 881 Spanish Club 440 Zeta Phi Beta 589 College 4-H 775 MENC/SMENC (Music Educ. Nat. 882 Sports Officiating Club Varsity Sports/Athletic Sponsored Teams 599 Collegiate Music Educators National Conf.) 883 Student Alumni Ambassadors (SAA) 474 Men’s Basketball 800 Colonels for Christ 781 MT-MLT Club 897 Student American Dietic Assoc. 475 Baseball 588 College Republicans 770 Majorettes 880 Student Assoc. 477 Cross Country 590 Collegiate Pentacle 514 Marketing Assoc. 884 Student Governement Assoc. (SGA) 479 Football 591 Commerce Club/ Sigma Tau Pi 772 Math Club 885 Student Assoc of Legal Assistants 480 Golf 597 Conquerors Through Christ 774 Med Assisting Tech Assoc. 886 Student Assoc. of General Contractors 490 Women’s Soccer 594 Council on International Affairs 685 Med Assisting Tech Assoc. 887 Student Council for Exceptional Children 489 Softball 610 Dance Orchestra 781 Med. Tech./ Med Lab Tech 888 Student Emergency medical Care Assoc. 484 Tennis 611 Dare Us 782 Messiah Chorus (SEMCA) 485 Track 612 Data Processing Management Assoc. 777 Milestone 905 Student Health Advisory Committee 486 Women’s Volleyball 617 Delta Chi 778 Miller-Beckham-McCreary Council 924 Student Activities Council (SAC) 488 Women’s Basketball 613 Delta Omicron 779 Mortor Board 885 Student Medical Records 592 Cheerleading Team 614 Delta Psi Kappa 780 Moslem Society 890 Student Ministries Council 754 Dance Team 615 Delta Sigma Rho 542 Music Club 775 Student Music Educators National 616 Delta Tau Alpha 795 National Student Speech-Language- Conference (SMENC) Student Organizations (RSO’s) 618 Disciple Student Ministry Hearing Assoc. 891 Student Environmental Health Assoc. 501 Accounting Club 508 Drama Club 796 The Navigators 797 Student Nurses Assoc./ Nurses 502 African Student Assoc. 631 E Club/ Varsity “E” Club 797 Nurses/Student Nurses Assoc. 892 Student Occupational Therapy Assoc. 503 Agriculture Club 630 Eastern Dance Theater/ Dance Club (Drum 811 Omicron Alpha Kappa 893 Student Paralegal Assoc. 504 Alpha Delta Kappa & Sandal) 812 Omicron Delta Epsilon 894 Student Senate 505 Alpha Epsilon Rho 635 Equestrian Club 542 Orchestra 895 Student Social Work Assoc. 528 Alpha Eta Rho 633 Eta Sigma Gamma 1923 Order of Omega Honor Society 898 Student Sociology Assoc. 506 Alpha Nu 634 Explorer’s Club 819 Panhellenic Exec. Council (PH) 899 Students for Christ 507 Alpha Phi Sigma 652 FTD-Horticulture Club 820 Pershing Rifles 733 Swimming Club Kappa Kappa Sigma 508 Alpha Psi Omega 645 Fellowship of Christian Athletes 821 Phi Alpha Theta 615 Delta Sigma Rho-Tau Kappa Alpha 510 Alpha Rho Tau/ Art Club 646 Fencing Club 550 Phi Beta Lambda 825 Teachers Club 509 Alpha Sigma Upsilon 478 Field Hockey 840 Phi Delta Kappa 912 Technology Education Club 529 American Advertising Assoc. 647 Finance Club 822 Phi Epsilon Kappa 910 Textiles Clothing & Fashion 535 American College of Health Care 632 Folk Dance Club 823 Phi Kappa Phi 508 Theater Club Administration 648 Food & Nutrition Club 824 Phi Mu Alpha- Phi Mu Alpha Sinfonia 911 Trap & Skeet Club 511 American Chemical Society 649 Foreign Language Club/ Sigma Lambda 825 Phi Omega Phi 923 UP Club 512 American Home Economics Assoc. 650 French Club 826 Phi Sigma Society 951 United Methodist Wesley Foundation 513 American Institute of Design & Drafting 651 Frisbee club 827 Phi Upsilon Omicron 921 University Pals 530 American Institute of Constructors 665 Gamma Beta Phi 828 Philosophy Club 583 University Songfest Choir 514 American Marketing Assoc. /Marketing 666 Gamma Iota Sigma 49 Phonathon Volunteer 925 Upsilon Pi Epsilon Assoc. 667 Gamma Theta Upsilon 829 Photo Club 940 Valianettes 515 American Society of Interior Designers 668 Geography, Planning, & Transportation 830 Physical Education major/ Minor Club 509 Veterans Club 516 American Society for Safety Engineers Club 841 Physics Club 941 Volleyball Club 532 Americans for Biblical Gov. 669 Geology Club 832 Pi Omega Pi 951 Wesley Foundation/ United Methodist 517 Archery Club 672 German Club 833 Pi Sigma Alpha Campus Center 533 Arnold Air Society 673 Golden Key International Honor Society 834 Pi Tau Chi 952 Westminster Fellowship 518 Art Student Assoc. 670 Gospel Ensemble 842 Pi Theta Epsilon 953 Wildlife Society 531 Asian Students International Assoc. 674 Graduate Gov Student Assoc 835 Pre-Veterinary Student Assoc. 955 Women’s Recreational Assoc. 519 Associate Degree Nursing Assoc. 675 Graphic Arts Club 836 Eastern Progress - Staff 872 World Affairs Club/ Social Science Club 520 Assoc. for Childhood Education 676 Great Commission Students 837 Psi Chi & Psychology Club 956 Wrestling Club 521 Association for Computing Machinery 671 Guild Gaming Society 838 Psychology Graduate Students 969 YMCA 522 Assoc. of Fire Science Tech. 686 Home Economics Club Organization 970 Young Democrats 523 Assoc. of General Contractors 687 Honor Society of Nursing Officers 839 Public Relations Student Society of 588 Young Republicans 536 Assoc. of Independent Construction 689 Human Development & Family Relations America 524 Assoc. of Law Enforcement 701 Industrial Arts Club 853 ROTC Others not listed: 534 Assoc. of Returning Students 702 Industrial Educ. Tech 850 Racquetball Club 525 Assoc. of Security & Loss Prevention 703 Institute of Electrical & Electronics 851 Ranger Club 526 Athletic Hostesses Engineers 852 Recreations Club 527 Athletic Trainer’s Club 719 Institute of Bus. Designers 705 Residence Life Council (RLC) 540 Baccalaureate Students Nursing Assoc. 704 Insurance Society 858 Residents Against Drunk Drivers 541 Bahai Club 708 Inter-Varsity Christian Fellowship 854 Rho Epsilon.
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