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Lambda Chi Alpha Fraternity

Prospective Member Recommendation Form

Instructions: if you know of a young man who can both contribute to the Lambda-Zeta Chapter and develop himself through Lambda Chi Alpha, please complete this prospective member recommendation form and submit it. This information will be sent to our High Delta, Rush Chairman, who will utilize it during our rush functions in order to contact the individual. If there is a young man you feel fills these qualifications and who is not planning on attending Union University then please feel free to print out this page and fill out the information accordingly. Send such information the Lambda Chi Alpha International Fraternity via fax to (317) 875-3828 or by mailing it to:

Vice President Fraternity Operations
Lambda Chi Alpha Fraternity
8741 Founders Road
Indianapolis, IN 46268-1389

He is currently attending college?
He is currently a high school student.
If so, his date of graduation is:
He is a Lambda Chi Alpha legacy?

Prospective's Name:
College/University he is attending:
Year in College: Fr. Soph. Jr. Sr.
Home Address:

City/Town: State: Zip Code:
School Address:

City/Town: State: Zip Code:
Home Phone:
School Phone:
High School Attended:
Relatives in Lambda Chi Alpha:
Adademic Record, Honors & Achievements:

High School or College Activities:


I understand this is only a recommendation, and that final decisons regarding association and initiation into Lambda Chi Alpha belong to the individual chapter.

Recommendation submitted by:
School & Year:
Your Address:

City/Town: State: Zip Code:

Comments, suggestions, or questions
concerning membership
may be forwarded to our