MEMBER INTEREST FORM

Delta Upsilon dares to be different. Join us on our mission to create meaningful, lasting experiences that will shape your life for the better.

First Name:

Last Name:

College/University you plan to attend:

If you have not yet decided which school you will attend, please list additional campuses you are interested in.

Anticipated graduation date:

High school attended:

Your high school graduation year:

Contact Phone Number:

Cell

Home

Contact Email:

Instagram Handle

Hometown (include city name and state/province):

Delta Upsilon family members:

Please provide a list of activities and organizations you are involved with/were involved with in high school.

Example: list of school groups/teams, local groups (scouts, youth groups, travel sports, etc.)

What are your hobbies and interests?

Why do you want to join DU?

May we share your contact information with the chapter or staff member associated with your institution?

Yes