First Name: Middle Initial: Last Name:

Parent/Guardian Name:

Parent/Guardian will attend along with student? Yes No. If yes how many? # 1 2

Address:

City: State: State FL GA ZIP:

E-mail Address: Telephone:

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Will you be graduating in 2005:Yes No

Your Current GPA?

School Activities:

Volunteer Activities:

Awards:

Have you been accepted to the college of your choice? Yes No
If yes, please enter the college name & location:

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Do you plan to participate in sorority recruitment? Yes No Undecided

Are you a legacy to an NPC Sorority Yes No . If yes, which one:

How did you hear about this event? Received Postcard in Mail From a Friend Saw Postcard at School Newspaper Article

I understand that my participation in this event in no way guarantees me a place in an NPC sorority. YES