Rush Recommendation

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Relationship

Your Contact Information
Name*
First

Last
Email Address*
Phone Number*
Affiliation with AEPi*
Brother Information*
Chapter

Graduation Year
Prospective Member's Contact Information
Name*
First

Last
Email Address
Phone Number
Street Address
Street Address

Address Line 2

City

State/Province/Region

ZIP/Postal Code

Country
College/University*

Other College/University
Is this prospective member in college now?*



Additional Information
How do you know this prospective member?*
Is he a legacy?*

Legacy Relationships
Name of AEPi Brother

Relationship to Prospective Member

Name of AEPi Brother

Relationship to Prospective Member

Name of AEPi Brother

Relationship to Prospective Member

Name of AEPi Brother

Relationship to Prospective Member

Name of AEPi Brother

Relationship to Prospective Member

Name of AEPi Brother

Relationship to Prospective Member
Is he in any youth groups?

Other Youth Groups
Additional Comments