Name First Middle Last Institution Baylor University California State Polytechnic University Florida Atlantic University Purdue University UC Riverside UC San Diego UCLA University of Minnesota Twin Cities University of Oklahoma University of Texas at Austin Vanderbilt University Other... Classification Freshman Sophomore Junior Senior Student ID GPA out of a scale of 4.0. Freshmen and incoming freshmen may use highschool GPA. Local Address Street   City   State Zip Code Local Phone Number () - i.e.(123) 456-7890 Mobile Phone Number () - i.e.(123) 456-7890 School provided email Alternate Email Preferred Chat and Screen name AOL MSN Yahoo Google Talk Would you like more information regarding Rush, if available? Yes No How did you hear of Beta Chi Theta initially? (i.e. Friends, Brothers, Siblings, Cousins, Other) Additional Comments All information is REQUIRED for contact purposes or to verify minimum requirements as set by the host Academic insititution. Please view our Terms of Use and Privacy Statements, and for further questions, address them in the 'Additional Comments' section of the application.