Sigma Alpha Epsilon Iowa Gamma Chapter

Name

FirstLast

Home Address required

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Phone Number required

(###)#######

Email Address required

Birth Date required

MMDDYYYY

Parents or Guardians Name required

FirstLast

High School Name required

City and State

Class Rank required

ACT or SAT Score required

Grade Point Average required

Orientation Session required

Intended Major required

1. List any clubs, student organizations, athletics or other student activities you were a member of in High School. If applicable, list what chairs and offices you held, and what honors you received: required

2. List any work experience during the last four years: required

3. List any community involvement during the last four years: required

4. Finally, briefly explain why you feel you exemplify a gentleman: required

Sigma Alpha Epsilon - Iowa Gamma

The True Gentleman Scholarship