IFC Recruitment Registration Form

All male students interested in a UVa-Wise fraternity must complete this IFC Recruitment Registration Form in order to be eligible to participate in one of two annual recruitment periods -- one each at the beginning of the fall and spring semesters. Should you have any questions about this form, or the recruitment process in general, please contact Josh Justice, Assistant Director of Leadership & Greek Life, at 276-376-3430 or jjustice@uvawise.edu.

Today's Date:

Last Name: *

First Name: *

Middle Name: *

Preferred Name:

Status: *

Returning Student (was enrolled at UVa-Wise during the prior semester)

New Student (was not enrolled at UVa-Wise during the prior semester)

Class Standing: *

Local Mailing Address: *

If you have a UVa-Wise Campus Mailbox, please list that address here; otherwise, list your local mailing address.

Local Phone: *

Please list the most convenient number at which to reach you (cell, local or residence hall phone number).

UVa-Wise Email: *

Please list only your UVa-Wise email. This is the only email that will be used for Office of Greek Life communications.

Do you live on-campus?: *

Yes - list hall and room below

Residence Hall, if applicable:

**Complete this section only if you answered 'yes' above.** Please list both your residence hall and room number here.

Academic Major: *

Academic Minor, if applicable:

Extracurricular Activities: *

Please list any campus and/or community involvements.

Relatives affiliated with a fraternity: *

Please list the name, relation, chapter, institution and year attended for any and all relatives affiliated with a fraternity. If none, list "none".

Form Submission Guidelines: *

I agree with these guidelines.

I disagree with these guidelines. **Note: This Recruitment Form will not be processed or considered.**

By submitting this form, I understand that registering for recruitment does not insure a fraternity bid and that, except for illness, class or emergency, I must participate in all aspects of mandatory events during recruitment. I give permission to the Office of Greek Life (OGL) to verify my grade point average (GPA), and that I have the necessary 2.25 cumulative GPA for returning and upperclass transfer students (2.5 High School Academic GPA for first-time freshmen). I also understand that I give permission for my academic eligibility to receive a bid to be discussed with chapter officers and national headquarters and that upon initiation into a fraternity, that my semester and cumulative GPA will be reported to the chapter, advisors, the national organization, and other stakeholders, until such time that I am no longer matriculated at UVa-Wise. The OGL does not discriminate based on cultural, religious, sexual orientation, or gender identity differences among students.

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