Membership Part 1
Personal Information
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First Name:
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| Last Name: |
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| Date of birth: |
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| University ID # |
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| Phone: |
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| Current Home Address: |
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| City: |
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| State: |
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| ZIP Code: |
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| E-mail: |
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| Sex: |
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Membership Part 2
Circle of Life Information
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| Were you a member of Circle of Life last semester? |
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| If yes, what position did you hold? |
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| And for how long? |
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| If no, what positions are you interested in? |
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| Which councils are you interested in? |
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| Will you be available to stay in Bloomington over the summer? |
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Membership Part 3
Academic Information
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| Academic Standing |
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| Residence Type |
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| Residence Type - If Greek, what chapter? |
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| Campus address: |
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| City: |
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| State: |
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| ZIP Code: |
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| Phone: |
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| Current major: |
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| GPA: |
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| GPA Scale: |
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