| If you answered yes, please check the following that may apply: |
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Grandmother(s) - |
| Name(s) (please include maiden name, sorority name, and college or university) |
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Mother(s) - |
| Name(s) (please include maiden name, sorority name, and college or university) |
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Sister(s) - (please include maiden name, sorority name, and college or university) |
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| Have you ever been a member of a national sorority?
Yes
No |
| If you answered yes, please provide the name and location of the sorority and when you were a member. |
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| Fall 2012 Academic Schedule |
| Monday
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| Tuesday
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| Wednesday
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| Thursday
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Friday
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I hereby verify that the above information is correct to the best of my knowledge. Furthermore, I offer this document as a waiver permitting the release of my grade-point average and other student information to the Director of Greek Life. |
| Signature
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Verification Information
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