Office of Fraternity and Sorority Affairs
New Member Registration Form
Personal Information (please print):
Student Name (Last, First, MI) ______________________________________________
Home Address ___________________________________________________________
City, State, Zip___________________________________________________________
Cell Phone _________________________ Home Phone __________________________
RUID # ________________________________ Date of Birth _____________________
Semester Pledged/Affiliated ____________________ Class Year ___________________
Rutgers Email Address ____________________________________________________
Fraternity/Sorority Name ___________________________________________________
University Information:
College Affiliation (check all that apply):
_____ SAS
_____
_____ SEBS
_____
_____ Engineering
_____
_____ Pharmacy
_____
Mason Gross
Business
Nursing
University College
Authorization/Compliance Information - please review and initial the following:
_____ I attest that I understand the fraternity/sorority joining policy and I meet the established
criteria.
_____ I have received a copy of the New Member Rights & Responsibilities Packet and the
Pledges Bill of Rights
_____ I understand my rights and responsibilities as outlined in my New Member Rights &
Responsibilities Information packet.
_____ I authorize the release of my grades to my undergraduate chapter officers, chapter advisor,
inter/national headquarters and OFSA.
_____ I authorize OFSA to mail Greek life information (brochures, newsletters) to my
parents/guardians.
New Member Signature ___________________________________ Date __________________
For OFSA Use Only:
____ Eligibility Confirmed
_____ SGMS
_____ IMS
Revised 8/12
_____ Bid Card Received (NPC Only)