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2021 UM Panhellenic Council COB Interest Form (For current UM Students Only)
First Name:
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Last Name:
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Email Address (@go.olemiss.edu):
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Phone Number:
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Residence Hall & Room Number/Off-Campus Address:
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Permanent Home Address:
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Permanent Home Address Line 2:
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City:
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State/Province:
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Zip Code:
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Hometown:
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High School Name:
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Year of HS Graduation:
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High School GPA:
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College Student Classification:
...
Freshman
Sophomore
Junior
Senior
Student ID Number:
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Major:
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College Credit Hours EARNED:
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Expected Graduation:
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2021 Spring
2021 Fall
2022 Spring
2022 Fall
2023 Spring
2023 Fall
2024 Spring
Other
GPA (Cumulative):
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Organizations and Groups:
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Leadership Experience:
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Service Experience:
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Scholarship:
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Were your relatives Greek?
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Parent
Sibling
Grandparent
Cousin
Other
Relative Name:
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Which Organization?
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Any additional information you would like to include:
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