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Request for Alumni Status

If you are requesting Alumni Status, you MUST complete all fields on this form and submit it. The Undergraduate Vice President of Communications will then submit your request to the Alumni and Volunteer Corporation for consideration

General Information:

* denotes required fields

*Name:

*Chapter Roll Number:

*Grand Chapter Roll Number:

*Birth Date:

*Address1:

Address2:

*City:

*State:

*Zip Code:

*Telephone:

*E-mail (Please provide your permanent e-mail address, not your unomaha.edu address):

Leave this field blank:

Stage within SigEp:

Essay:

Please describe your involvement during your Undergraduate career:

Check this box if you wish to be added to the Alumni E-mail list.

Check this box if you are interested in volunteering for the Alumni Board.

  


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