Beta Theta Pi – Gamma Kappa Chapter

Scholarship Deadline: September 1st, 2010

The Gamma Kappa chapter is proud to offer incoming male freshmen and transfer students to the University of North Dakota the Men of Principle Scholarship, a $250 scholarship given to two outstanding young men.  Applicants have no obligation to join Beta Theta Pi by applying for and/or receiving this scholarship.

Please fill out the following form completely.  All fields are required unless otherwise noted.  You may also download the application (pdf) and mail it to: Beta Theta Pi C/O Rush Chairman, 2600 University Avenue, Grand Forks ND 58203.

For questions, please contact Derrick Reger.

Personal Information

Full Name:		Date of Birth (MM/DD/YY):
Permanent Address:		City, State, Zip:
High School:		City:
Permanent Phone:		Email:

Education Information

Transfer Student:	Yes No	Year:	Freshman Sophomore Junior Senior
Major:
High School GPA:	out of	High School Rank:	out of
College GPA (If Applicable):

Scholarship Information

Honors, Achievements, Awards:
Community Service, Extracurricular Activities:
Future Plans:
Please include any additional information that you feel would be pertinent to this application (optional):
Feel free to upload an additional document (resumes, letters of recommendation, etc) (Optional):	(Only .doc, .docx, .txt files less than 2MB please)

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