Theta Xi Boulder - Online Application

Please read the instructions to the right.
All Fields are Required. Use the (TAB) key to move quickly between fields

• First Name
• Last Name
• E-mail Address
• Phone Number
• Street Address
• City
• State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
• Class Status Incoming Freshman Freshman Sophomore Junior Senior
• I am a transfer student interested
  in housing for this fall
• Zip Code
• Current GPA
• What is your planned or current Major?
• Is anyone in your immediate family a member of a Fraternity or Sorority? If so, please list them here:
• Please openly brag about your unique talents, abilities, and experiences which demonstrate your strong leadership abilities.
  List any groups you are currently a member of and any ranks or leadership positions that you hold or have held
• Why do you want to join Theta Xi? What do you feel that you can contribute to the Brotherhood, and what would you expect to receive in return?
  Where / How did you hear about Theta Xi?