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| Name_____________________________ Preferred for nametag____________ |
| Summer Address____________________________Phone________________ |
| ____________________________ |
| Permanent Address__________________________Phone________________ |
| __________________________ |
| UCSB Fall Address__________________________Phone_________________ |
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| Student Status (Check one) __Freshmen __Continuing __Sophomore |
| __Transfer __Junior (# of units___ GPA___) |
| High School, City/State, Graduation Year, and GPA ______________________ |
| _______________________________________________________________ |
| Previous College attended, class level fall quarter, and GPA (for transfer students) _______________________________________________________ |
| _______________________________________________________________ |
| High School/College activities, honors, awards, hobbies___________________ |
| ________________________________________________________________ |
| Volunteer or work experience________________________________________ |
| _______________________________________________________________ |
| Do you have any relative(s) who is/are members(s) of a sorority at UCSB or elsewhere? |
| Name_______________________________ Relationship________________ |
| Phone____________________________ Chapter______________________ |
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| Please Read and Sign: |
| I authorize the release of my transcript to the Greek Advisor and the UCSB National Panhellenic Conference Recruitment Chair. It is my understanding that this information will be made available to the Recruitment Chair and Advisor of each chapter for GPA verification only. My signature also further acknowledges that I will be attending Fall Formal Panhellenic Recruitment at UCSB and will foloow all rules and regulations associated with the process. I further attest that I am a regularly enrolled full timestudent in good standing with a 2.0 or better cumulative GPA, and am not on academic probation or subject to dismissal. I further attest that the information given is accurate to the best of my knowledge and I understand that falsification could lead to my ineligibility in Panhellenic Recruitment. |
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| This information will be maintained by the National Panhellenic Conference and you have the right to inspect University records containing personal information requested on this form. |
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| Signature Date |
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| ** Please mail application form, check, and self addressed stapmed envelope to: |
| UCSB Panhellenic Recruitment- Application |
| Office of Student Life |
| University of California Santa Barbara |
| SantaBarbara, CA 93106-6100 |
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