ULM Office of Fraternity and Sorority Life

Name

FirstMiddleLastSuffix

Campus Wide ID Number required

Home Address required

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Cell Phone Number required

(###)#######

Home Phone Number

(###)#######

Email Address required

Birthday

MMDDYYYY

You are a: required

Freshman

Transfer Student

Returning ULM Student

High School Attended required

High School Graduation Date required

MMDDYYYY

High School G.P.A required

If a transfer student, please list previous college/university:

College G.P.A

Living in University Housing required

YES (List Residence Hall & Room Number Below)

NO (Complete Local Address Below)

Residence Hall & Room Number

Local Address (if living off-campus)

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

List all High School/College activities/honors:

Legacy Information:

I, the undersigned, understand that the Family Educational Rights and Privacy Act of 1974 (FERPA) allows the release of my scholastic records only with my consent. I hereby give my consent to release my grades to the ULM Office of Greek Life.

The ULM Office of Greek Life, which in turn will release any and all information contained in this application to the IFC Fraternities at ULM. I realize that falsification of information submitted in this application could result in my dismissal form the Recruitment process.

AGREEMENT WITH THE STATEMENT ABOVE: required

Fraternity and Sorority Affairs

IFC Preview Week Registration