You will need Adobe Reader to complete this form. Download it here. If you use an Apple Mac, please see these instructions.
After you complete this form, use the Collegiate Recruitment Calendar and Contacts to find the chapter contact for who should
receive it. BEFORE you fill this form out, please save a copy to your computer and then type into that saved copy. Save it again
once you have completed it to save all the information you have entered. If you don't save it first, this form will come out blank!
This form is for use by members of Delta Gamma only. Please attach a picture of the potential member (include her name, city of
residence, and the college/university she is attending on the back). Check one of the following boxes before continuing.
This is a: o Voluntary Sponsor Form
o Requested Sponsor Form
o Information Only Sponsor Form
(SIGNATURE REQUIRED ON PAGE 2)
(SIGNATURE REQUIRED ON PAGE 2)
(SIGNATURE REQUIRED ON PAGE 2)
For _____________________Chapter of Delta Gamma at ______________________________________________________
CHAPTER LETTERS
COLLEGE OR UNIVERSITY
CANDIDATE INFORMATION
Name of potential member _______________________________________________________________________________
LAST
FIRST
MIDDLE
NICKNAME (IF ANY)
Home address ________________________________________________________________________________________
STREET
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
E-mail ____________________________________________________ Phone _____________________________________
Entering as: o Freshman
o Sophomore
o Junior
o Senior
Age ________________
High school _____________________________________________________________ Rank in class _______/__________
NAME
CITY
GPA __________ on a scale of _________
STATE/PROVINCE
RANK
CLASS SIZE
SAT score___________________ ACT score ___________________
Will this potential member be able to assume financial obligations of Delta Gamma membership? o Yes o No o I don’t
know
Comments (if any) _____________________________________________________________________________________
The potential member might enjoy talking about these topics during recruitment: _____________________________________
____________________________________________________________________________________________________
Other sorority influences ________________________________________________________________________________
RELATIONSHIPS, GREEK AFFILIATIONS, COMMENTS
FAMILY INFORMATION
Mother’s name _______________________ Sorority __________________ College/university _________________________
Mother’s address (IF DIFFERENT FROM ABOVE) ___________________________________________________________________
Father’s name _______________________ Fraternity __________________ College/university ________________________
Father’s address (IF DIFFERENT FROM ABOVE) ____________________________________________________________________
Page 1 of 3
LEGACY INFORMATION (PLEASE SEE LEGACY CONTACT INFORMATION ON PAGE 2)
DELTA GAMMA RELATIVES
Mother/Step Mother _________________________________ Contact information _________________________________
NAME. CHAPTER OF INITIATION
PHONE, E-MAIL
Grandmother/Step Grandmother ________________________ Contact information _________________________________
NAME, CHAPTER OF INITIATION
PHONE, E-MAIL
Sister/Step Sister ____________________________________ Contact information _________________________________
NAME, CHAPTER OF INITIATION
PHONE, E-MAIL
Other Delta Gamma relatives ____________________________________________________________________________
RELATIONSHIPS, COMMENTS
ADDITIONAL CANDIDATE INFORMATION
Please use the space below to provide your personal evaluation of the potential member you are
sponsoring, relating her qualifications to Delta Gamma’s Membership Star. Check all boxes that
apply. You may add comments or attach a separate sheet with more details.
Character
o
Morally acceptable o
Loyal
o
Dependable
o
Industrious
o
Other
__________________________________________________________________________________________________
Interests and Talents
o Musical
o
Athletic
o
Artistic
o
Other
__________________________________________________________________________________________________
Education and Scholarship
o
Honor Student
o
Enrichment programs
o
Likely to finish college
o
National Honor Society o
Other
__________________________________________________________________________________________________
Personal Development
o
Congenial
o
Poised
o
Compatible in a group
o
Shy/reserved/quiet
o
Other
__________________________________________________________________________________________________
Activities and Honors
o
Volunteer activities
o
Religious activities
o
Leadership abilities
o
Honors
o
Other
__________________________________________________________________________________________________
SPONSOR/CONTACT INFORMATION
Please check all applicable statements below and fill in additional information as appropriate.
I am a Delta Gamma o alumna or o
o
collegian. My chapter of initiation is ____________________________________
I have known the potential member for ______________ years and the potential member’s family for ___________ years.
Page 2 of 3
o
I do not personally know the potential member; I acquired information from ___________________________________
o
I hereby endorse this potential member with the understanding that she may become a new member of Delta Gamma.
o
I do not wish to endorse this potential member. I understand that I may be contacted by the chapter adviser.
o
Following recruitment, I would like to be notified about the status of this potential member.
(MY CONTACT INFORMATION IS BELOW).
o
Please check box if additional information is attached on a separate sheet of paper.
This form has been completed by
____________________________________________________________________________________________________
FIRST NAME
MAIDEN NAME
LAST NAME
____________________________________________________________________________________________________
ADDRESS
CITY
STATE/PROVINCE
ZIP/POSTAL CODE
____________________________________________________________________________________________________
E-MAIL
PHONE
x _________________________________________________________________________________________________
SIGNATURE
DATE
LEGACY CONTACT INFORMATION (IF APPLICABLE)
This potential member is my
o
daughter/step daughter
o
granddaughter/step granddaughter
If the Delta Gamma chapter releases my legacy, I would like to be contacted.
If yes, you can contact me
o
at any time
o
o
Yes
o
No
between the hours of __________ and ___________
Contact phone number _______________________________________________________________
Page 3 of 3
o
sister/step sister