Mail this form to:
Cathy Neben, Fort Bend Panhellenic
c/o Joe Toga
11579 Wilcrest
Houston, TX 77099*
If any information changes, make updates online or email: fortbendrush@hotmail.org
Fort Bend Panhellenic Recruitment Registration
Deadline for Fort Bend Panhellenic Registration:
June 1 for UT Austin (complete Reference process by May 15)
All others July 15 (complete Reference process by July 1)
Please Print
Name:
Last First Middle (Preferred Name)
Date of Birth (Month, day, year):
Home Address:
Street City Zip
Home Phone (optional)
Your cell phone (optional)
Your personal email (optional)
Your college email if known (optional)
Parent email (optional)
Please indicate where you can be reached this summer if not at one of the
above:
Parent or Guardian Name(s):
Mother*s Maiden Name:
Your High School Attended & City:
Graduation Date & Year:
High School Grade Point Average: ___ out of 4.0* and ____out of * ____(weighted)
College Planning to attend*:
College Attended As Full Time Student (if any):
College Grade Point Average: _______ out of ______
Permission granted to release information: (Signature) and Date
This form registers you with Fort Bend Panhellenic only. You still must register
with the university Panhellenic where you will be going through Recruitment.
You will not be able to participate in Recruitment unless you register with
the university.