Referral Form Name(Required) First Last Preferred NameUniversity of College Potential New Member is AttendingAlpha, BostonAlpha Alpha, AdelphiAlpha Beta, CornellAlpha Chi, Miami/FloridaAlpha Delta, StetsonAlpha Epsilon, BrenauAlpha Eta, Florida StateAlpha Kappa, MaineAlpha Lambda, South CarolinaAlpha Mu, William & MaryAlpha Nu, CharlestonAlpha Omega, EmoryAlpha Omicron, DukeAlpha Pi, MarylandAlpha Psi, FloridaAlpha Rho, GeorgiaAlpha Sigma, North CarolinaAlpha Tau, Carnegie-MellonAlpha Theta, PittsburghBeta, Saint LawrenceBeta Alpha, South FloridaBeta Beta, Cal. State/ NorthridgeBeta Epsilon, Texas/ArlingtonBeta Eta, Boise StateBeta Gamma, JacksonvilleBeta Lambda, Central FloridaBeta Mu, Mississippi StateBeta Nu, Virginia TechBeta Omicron, Illinois StateBeta Phi, CentreBeta Pi, California/DavisBeta Sigma, VirginiaBeta Tau, BaylorBeta Theta, ClemsonBeta Upsilon, California/IrvineBeta Xi, Stephen F. AustinBeta Zeta, TransylvaniaCanada Alpha, TorontoCanada Delta, OttawaChi, MississippiDelta, SimpsonDelta Beta, Miami/OhioDelta Chi, DenisonDelta Epsilon, MillikinDelta Eta, CoeDelta Gamma, VanderbiltDelta Iota, ArkansasDelta Kappa, DruryDelta Lambda, ButlerDelta Mu, AlabamaDelta Omega, Louisiana StateDelta Pi, IllinoisDelta Psi, RhodesDelta Rho, KentuckyDelta Sigma, TennesseeDelta Upsilon, Ohio WesleyanDelta Xi, MissouriDelta Zeta, FranklinEpsilon, KnoxEpsilon Alpha, Florida Gulf CoastEpsilon Beta, Lake ForestEpsilon Chi, TulaneEpsilon Delta, ElonEpsilon Gamma, Eastern IllinoisEpsilon Iota, AlleghenyEpsilon Kappa, California-MercedEpsilon Lambda, TowsonEpsilon Mu, CreightonEpsilon Nu, ChapmanEpsilon Omicron, North Dakota StateEpsilon Phi, TempleEpsilon Pi, Louisiana TechEpsilon Psi, Sacred HeartEpsilon Rho, San FranciscoEpsilon Sigma, Florida SouthernEpsilon Tau, QuinnipiacEpsilon Theta, Texas/DallasEpsilon Upsilon, DelawareEpsilon Xi, SamfordEta, VermontGamma Alpha, TX A&MGamma Beta, VillanovaGamma Chi, DenverGamma Delta, Spring HillGamma Eta, RichmondGamma Iota, PurdueGamma Kappa, Wake ForestGamma Lambda, California/San DiegoGamma Mu, LafayetteGamma Omega, StocktonGamma Phi, TX A&M/Corpus ChristiGamma Pi, Rose-HulmanGamma Psi, WoffordGamma Rho, PepperdineGamma Sigma, ColgateGamma Tau, James MadisonGamma Xi, FurmanGamma Zeta, MillsapsIota, MichiganKappa, NebraskaLambda, BakerMu, WisconsinNu, Ohio StateOmega, StanfordOmega Delta, Iowa StateOmicron, SyracusePhi, IowaPhi Alpha, ToledoPhi Epsilon, Southern MississippiPhi Eta, Texas TechPhi Kappa, Cal. State/Long BeachPhi Lambda, Texas ChristianPhi Mu, Southeast MissouriPhi Nu, Louisiana/LafayettePhi Omicron, Northern ArizonaPhi Phi, Delta StatePhi Theta, AuburnPhi Upsilon, Oklahoma StatePhi Xi, Wichita StatePhi Zeta, Puget SoundPi, California/BerkleyPsi, PennsylvaniaTheta Alpha, WashingtonTheta Beta, ColoradoTheta Delta, OregonTheta Epsilon, SouthwesternTheta Eta, WyomingTheta Gamma, OklahomaTheta Iota, Kansas StateTheta Kappa, Southern MethodistTheta Lambda, Colorado StateTheta Mu, Oregon StateTheta Nu, Washington StateTheta Omega, KansasTheta Tau, IdahoTheta Theta, NevadaTheta Upsilon, TulsaTheta Xi, Southern CaliforniaTheta Zeta, TexasUpsilon, NorthwesternZeta, CincinnatiYear in schoolFirst YearSecond yearThird yearFourth + YearWhat city is the Potential New Member from?What state/province is the Potential New Member from?AlabamaAlaskaAlbertaArizonaArkansasBritish ColumbiaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineManitobaMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew BrunswickNew HampshireNew JerseyNew MexicoNew YorkNewfoundland and LabradorNorth CarolinaNorth DakotaNorthwest TerritoriesNova ScotiaNunavutOhioOklahomaOntarioOregonPennsylvaniaPrince Edward IslandQuebecRhode IslandSaskatchewanSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingYukonPotential new member email Potential new member cell phone numberPotential new member Instagram handlePlease check the activities that the Potential New Member has been most involved with. Academic Honors Athletics Community Service Internship or Work Experience Leadership Positions Philanthropy What would the Potential New Member like to talk to Tri Delta about during recruitment?CommentsThis field is for validation purposes and should be left unchanged.
