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Beta Candidate Referral Form
1
Step 1
Candidate's Information
Candidate's Full Name
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Phone Number
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Email Address
email
Hometown
home
Major, If Known
your full name
school
What qualities makes this student a strong candidate for Beta?
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Is the candidate a legacy of Beta Theta Pi (i.e., Beta parent)?
Select an Option
Yes
No
Don't Know
School Classification
Freshman
Sophomore
Junior
Senior
High School
Transfer Student
Graduate Student
Your Information
Your Name
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Your Relationship to the Candidate
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Your Phone Number
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Your Email Address
email
Your Alma Mater, if Applicable
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Role Number, if Applicable
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Other Thoughts or Comments?
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Submit Form
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