Rush Form

Colorado Chi of SAE
Please fill out and submit this survey if you would like to learn about or receive more information on rushing Sigma Alpha Epsilon at the University of Colorado. If you are currently a student, or are planning to attend the University of Colorado, we will be able to use the survey results to establish communication with you.

*Name First Last
Home Address
*Street Address Address Line 2 *City *State / Province / Region *Postal / Zip Code
*Mobile Phone ### - ### - ####
Date of Birth MM / DD / YYYY
*Email Address
Emergency Contact
Name First Last
Relationship
Home Phone - -
Work Phone - -
High School Information
GPA
Leadership Positions
Activities
CU Boulder University Information
GPA
*Dormitory
Leadership Positions
Major
CU Boulder Address
If off campus, please specify address, and fill in 'off campus' for Dormitory field

*Street Address Address Line 2 *City State / Province / Region *Postal / Zip Code Country Activities
Please have the Rush Chairman contact me so that I can learn more about Colorado Chi Chapter of Sigma Alpha Epsilon.

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