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After you have submitted this form you will be taken to the Delta Upsilon payment gateway where you will have the opportunity to submit an on-line payment of your pledge fee via electronic check or credit card.

I certify that I have been invited to become an associate member of an active chapter or colony of Delta Upsilon, having been presented and in acceptance of a bid card signed by the chapter or colony president or vice president-membership recruitment.

Associate Membership

I understand that as an associate member of a chapter or colony of Delta Upsilon, I will be considered for membership by the chapter or colony based on its criteria for Initiation. Further, I understand that associate membership is a time for the chapter or colony members to determine whether I live up to the standards and principles of the Fraternity and it is a time for me to consider whether membership in Delta Upsilon is right for me.

I understand that Delta Upsilon International Fraternity provides guidelines to my chapter or colony for associate member education, and that these guidelines appear in the Fraternity's member manual, The Cornerstone, and online at www.DeltaU.org.

Initiation

I understand that my chapter or colony has written criteria for Initiation of members, which it will share with me. I also understand that Delta Upsilon is a non-secret fraternity, that I should know the date of my Initiation well in advance, and that my chapter or colony should invite my family, friends, and others to attend my Initiation Ceremony.

I understand that I can become a member of Delta Upsilon Fraternity only by participating in the Ritual of Initiation, and by fulfilling all financial obligations including payment of my pledge fee and initiation fee.

Hazing

I understand that Delta Upsilon Fraternity, my college or university, and the North-American Interfraternity Conference, prohibit hazing of any kind. I also understand that my chapter or colony has no authority to conduct any activities in association with my associate membership or initiation that involve improper conduct, including illegal use or provision of alcoholic beverages, physical or mental harm to any person, or activities demeaning in any way to any person.

I understand that if I believe I am being hazed that I have an obligation to discuss my concerns with chapter or colony members, alumni advisors, the campus Greek advisor, college or university officials, and/or Delta Upsilon International Headquarters staff.

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First Name
Middle Name
Last Name
Anticipated Graduation Year
Email
Campus Phone Number
Social Security Number
Date of Birth (MM/DD/YYYY)
Pledge Date (MM/DD/YYYY)
Mother's Maiden Name
Parent or Guardian's Full Name(s)
Parent's Address (NOT your campus address)
Parent's City
Parent's State/Province	AB CA AK AL AR AZ BC CA CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB CA MD ME MI MN MO MS MT NB CA NC ND NE NH NJ NL CA NM NSv NT CA NU CA NV NY OH OK ON CA OR PA PE CA QC CA RI SC SD SK CA TN TX UT VA VT WA WI WV WY YT CA
Parent's Zip Code/Postal Code
Parent's Phone Number
Parent's Email
Relatives in Delta Upsilon (Name, Chapter & Grad Year, & Relationship)
By putting my initials in the following space I signify that I have read and understand the information above and that the information furnished above by me is accurate.