2019/2020 Kappa League Application
Sign in to Google to save your progress. Learn more
APPLICANT'S PERSONAL INFORMATION
NEW ROCHELLE - WHITE PLAINS ALUMNI CHAPTER : We are the sole owners of the information collected on this site. We only have access to/collect information that you voluntarily give us via email or other direct contact from you. We will not sell or rent this information to anyone. We will use your information to respond to you, regarding the reason you contacted us. We will not share your information with any third party outside of our organization, other than as necessary to fulfill your request, e.g. to ship an order. Unless you ask us not to, we may contact you via email in the future to tell you about specials, new products or services, or changes to this privacy policy.
Email
Last Name
First Name
Middle Name
Age
Date of Birth
Current Grade
Applicant's Cell Phone Number
Applicant's Home Telephone
Parent(s) or Guardian(s) Information
Parent(s) or Guardian(s) Last Name:
Parent(s) or Guardian(s) First Name:
Parent(s) or Guardian(s) Street Address:
Parent(s) or Guardian(s) City:
Parent(s) or Guardian(s) State:
Parent(s) or Guardian(s) Zip Code:
Child's Shirt Size
Child's Jacket Size
Applicant's Acknowledgement
I wish to participate in the New Rochelle-White Plains Alumni Chapter of Kappa Alpha Psi Fraternity, Incorporated  Kappa League Program. I agree to obey the rules of the program, and at any time I can/will be expelled from the Kappa League program for conduct that is detrimental to the program *
Required
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms