Self Referral | Gamma Theta Chapter

Potential New Member Inquiry

First Name: *
Last Name: *
Phone: *
Email: *
What question(s) can we answer for you? *
Are you a legacy of Beta Theta Pi?

Yes

No
Are you affiliated with another Greek organization?

Yes

No
How did you hear about Beta? (NOTE: If you have a Beta reference, please include their name, phone and email):
Current Address:
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

NA
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.):

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: *

IMPORTANT: This form is exclusively used for inquiries about the Gamma Theta Chapter of Beta Theta Pi at Washington State University. If you would like to inquire about joining a Beta Chapter on a different collegiate campus, then please click here.