Rush Interest Form

Please fill out and submit this survey if you would like to learn about or receive more information on rushing the Alpha Sigma Chapter of Pi Kappa Alpha. If you are currently attending Cal Berkeley, or planning to attend in the future, we will be able to use the survey results to establish communication with you to see if rushing is right for you.

Personal Information
Name*
First Last
Email*
Home Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Current School Information
School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
School Phone
High School Info
High School Attended
High School GPA
High School Activities
Cal Berkeley Info
Cal Berkeley Major
Cal Berkeley GPA
Cal Berkeley Activities
Interests
- Please Have the Rush Chairman contact me so that I can learn more about your chapter

Rush Interest Form

Personal Information

Current School Information

High School Info

Cal Berkeley Info

Interests

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