Address:

City:

State: Zip:

Phone:

2. What are some of your hobbies?

3. What do you have to offer to Pi Kappa Phi?

4.What Pi Kapps do you know?

5. Clubs, Sports, and Offices held in high school:

6. Where are you going to live in the Fall?

7. Phone number: (On-Campus, Cell#,or Southern Link ID#)