Spring 2010 Rush Registration

This form is designed to obtain information about you and to give you the opportunity
to find out more info about the TKE Fraternity at Valdosta State University.

The following form is currently not working properly.  If you are interested in rushing TKE, please email me at keithdhowell@gmail.com with the information listed below and I will contact you as soon as possible.

Please provide the following contact information:

First Name
Last Name
School Address
City, State, Zip Code
Dorm
Room #
Phone Number Best way to reach you 
E-mail
Home Town
High School
Age
Currently I am
Anticipated Major
Are you a Legacy? Check if yes 
Legacy's College
   
How interested are you
in joining a fraternity?		 I definitely want to join TKE
 I definitely want want to join a fraternity
 I'm not sure if I want to join anything yet
 I'm just browsing for now

Any questions you would
 like answered
   

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| Tau Kappa Epsilon - Zeta Nu Chapter | 1512 North Oak St. | Valdosta, GA 31602 |