Name:	*
E-Mail Address:	*
Permanent Address:	*
Phone:	*
AIM Screen Name:
Orientation Date (if Freshman or Transfer):	*
Intended Major:	*
High School Name:	*
High School GPA & Scale:	*
What clubs, athletics, or student activities were you involved in during high school?	*
What do you want to accomplish at UMKC?	*
How did you hear about Sigma Alpha Epsilon at UMKC?	*
Why would you make a good member of our fraternity?	*