Scholarship Application | Gamma Theta Chapter

Men of Principle Scholarship Application

Title: *
First Name: *
Middle Name: *
Last Name: *
Phone: *
Email: *
Home Address: *
Campus Address: *
What is the best way for us to connect with you? (i.e. time, day, and preferred communication): *
Are you a legacy of Beta Theta Pi? *

Yes

No
Are you affiliated with another Greek organization? *

Yes

No
How did you hear about this scholarship? (NOTE: If you have a reference, please include their name, phone and email): *
High School Name: *
High School GPA: *
High School Class Rank:
ACT/SAT Score(s):
Which of the following options best match your current class standing? *
Transfer Student: *

Yes

No

N/A
Current College/Transfer GPA (if applicable):
Intended Major(s): *
Intended Minor(s):
Please describe yourself in one or two sentences:
Please tell us about your future plans and aspirations:
Please list all honors, awards and achievements dating back to high school:
Please list all community service and philanthropic involvement - including estimated hours - dating back to high school:
Please list all extracurricular activities, including membership in other societies, organizations and athletics dating back to high school:
Please list all scholarships that you have already received:
Please list any other relevant information (i.e. hobbies, interests, job experience, etc.):
Is there anything else about you that you feel like we should know?
On my honor as a student, I affirm the information listed above is correct, to the best of my knowledge. *

Yes

No
Electronic Signature: *
Date/Time of Submission: *