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Rushee Profile Form

Rushee Details

Rushee First Name:
Rushee Last Name:
Parents' Names:

Contact Information

Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Email Address:
(Personal or Family)
High School:

Athletics

(only include letter winning sports)

1. 2. 3.
Honors received in Athletics:

Activities

1. 2. 3.
Leadership position(s) held:
Class Ranking: /
SAT:
Cumulative GPA:
ACT:
Honors received in Academics:

FIJI Relatives

  Name / Year: School:
1. /
2. /
2. /

College Information

Intended Major:
  Hobby of Interest
1.
2.
  Campus Activities of Interest
1.
2.
  (http://webdb.iu.edu/sao/Search/ for more info)
  3 Goals for College Career
1.
2.
3.
Comments:
IU Admissions Status: Accepted with plans to attend in Fall; Already Enrolled; Unsure
Rush weekend I would like to attend: I am unable to attend either, but I am still interested in rushing
Recent Photo: Please upload a recent photo (JPG files only accepted) of yourself

Additional Steps

Please send the following AS SOON AS POSSIBLE to the address below:

  • Copy of high school transcript (your advisor can help provide this)

Rush Chairmen
Phi Gamma Delta
631 E. Third Street
Bloomington, IN 47406

Submit this Form

NOTE: Please review your entries to this form prior to clicking the "submit" button below.
Once submit is clicked, all entries are finalized and cannot be changed.

I acknowledge that the information I have provided above is accurate at the time I submit this form.