Personal Background

First Name

Preferred First Name

Middle Name

Last Name

Suffix

Birthday

Contact Information

Cell Phone

Email Address

Mailing Address Line 1

Mailing Address Line 2

City

State

Zipcode

Country

Parents & Guardians 1 +

Relationship

May we contact your parent/guardian with news & information from Delta Sig?

First Name

Last Name

Cell Phone

Email Address

Mailing Address Line 1

Mailing Address Line 2

City

State

Zipcode

Country

Education & Membership

Year in School

Expected Graduation Year

Chapter and School

Initiation Date


Are you a Legacy of Delta Sigma Phi? (Do you have family members in the Fraternity?)

Membership Compliance Agreement

I hereby make application to join The Delta Sigma Phi Fraternity and by affixing my initials to this form, I bind myself to join no other social college fraternity. I promise that I shall present myself for initiation when requested to do so and that I shall further the interests of the Fraternity in every way in my power. I understand that hazing is prohibited in The Delta Sigma Phi Fraternity and will not consent to be hazed nor participate in any acts of hazing. I have read the Preamble, and I am and always will be a firm believer in the principles of The Delta Sigma Phi Fraternity. I will obey and abide by these principles to the best of my ability in respect to my application and membership, or in respect to any jewelry, property or insignia of The Delta Sigma Phi Fraternity. I agree to follow the Policies, Constitution and By-laws of The Delta Sigma Phi Fraternity.

I further agree that in consideration for receipt of the badge of The Delta Sigma Phi Fraternity, such badge being the property of the Fraternity, I will hold this badge and will care for it as the property of the Fraternity and not as my own; that I will never sell, assign, give or otherwise alienate the same; that I will never loan the same, pledge it as security for debt or allow it to part from my possession except as expressly permitted under the Ritual, Constitution and By-laws of the Fraternity; that I will set no claim of my own to such badge as against the Fraternity, and will return same upon demand of the Executive Director at such time and place as such Executive Director shall require.

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Claims & Dispute Resolution Program Agreement

I HEREBY AGREE TO AND AM BOUND BY THE TERMS OF THE DELTA SIGMA PHI FRATERNITY CLAIM AND DISPUTE RESOLUTION PROGRAM (the "Program") AS CONTAINED IN THE PLAN DOCUMENT AND RULES (COMPLETE COPY OF WHICH IS AVAILABLE AT THE FOLLOWING LOCATIONS: 2960 N. Meridian St. Indianapolis, Indiana 46208 and www.deltasig.org). By accepting membership in Delta Sigma Phi Fraternity, I agree to be bound by the Program both during my membership (whether as a new members/pledge, initiated member, alumni, or otherwise) and after my membership should such membership be terminated for any reason. Likewise, the terms of the Program are binding on Delta Sigma Phi Fraternity. I understand that the terms can only be modified following advance notice of such change. While both I and Delta Sigma Phi Fraternity retain all substantive legal rights and remedies under this Program, Delta Sigma Phi Fraternity and I are both waiving all rights which either may have with regard to trial by jury for personal injury, property damage, contract or any other related matters in state or federal court. This Plan covers any legal or equitable claim for personal injury, property damage, equity or breach of contract, arising out of any tort, statute, contract or law. This program is binding on all Delta Sigma Phi Fraternity new members/pledges, initiated members, alumni, chapters, house corporations, foundations, alumni organizations, and the National Fraternity.

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