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Recommender’s Information
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Your Full Name:
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Your Chapter / Greek Affiliation / Campus Affiliation (optional):
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Your Email:
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Your Phone Number:
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Potential Member's Information
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Full Name:
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Hometown:
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College/University:
For potential Colony founders, please provide college or university information below under "Additional Information"
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Email:
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Phone Number:
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Please tell us about this individual (high school/college organizations and activities, qualifications, interests, and/or honors received):
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Have you discussed Chi Phi with him?
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