Alpha Gamma Rho - Alpha Zeta - Prospective Member Information Sheet

Name

FirstLast

Date of Birth required

MMDDYYYY

Address

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

Phone Number required

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

Email Address

School

High School GPA required

College GPA (if applicable)

ACT/SAT

Intended Major at KSU required

Relatives or Friends in Alpha Gamma Rho

Parent's name/Occupation

Activities, Honors, Clubs, Leadership Roles, Judging Teams, Etc.:

Hobbies & Interests

Explain your leadership skills:

Explain why you want to be a member of Alpha Gamma Rho

Kansas State University