First Name:
Middle Name:
Maiden Name:
Married Name:

Chapter of Initiation:
Beta-Washington Gamma-California, Berkeley Epsilon-Ohio State Zeta-Albion Eta-Akron Theta-Indiana Iota-Illinois Kappa-Nebraska Lambda-Minnesota Mu-Missouri Nu-Idaho Xi-Michigan Omicron-Adelphi Pi-Montana Rho-Syracuse Sigma-Northwestern Tau-Iowa Upsilon-Stanford Phi-Colorado Chi-Cornell Omega-Wisconsin Alpha Delta-Oregon Alpha Epsilon-Washington University Alpha Zeta-Lawrence Alpha Eta-Whitman Alpha Theta-North Dakota Alpha Iota-Oklahoma Alpha Kappa-Washburn Alpha Lambda-Drake Alpha Nu-Southen California Alpha Xi-West Virginia Alpha Omicron-Miami (Ohio) Alpha Pi-Arizona Alpha Rho-Ohio Wesleyan Alpha Sigma-California, Los Angeles Alpha Tau-Butler Alpha Upsilon-Southern Methodist Alpha Phi-British Columbia Alpha Chi-Penn State Alpha Psi-Mississippi Alpha Omega-Arkansas Beta Alpha-McGill Beta Beta-Alberta Beta Gamma-Utah Beta Delta-Colorado College Beta Epsilon-American Beta Zeta-Denison Beta Eta-Texas Beta Theta-Duke Beta Iota-Purdue Beta Kappa-Kansas Beta Lambda-Gettysburg Beta Mu-Bowling Green Beta Nu-Carnegie Mellon Beta Xi-Michigan State Beta Pi-Willamette Beta Rho-George Washington Beta Sigma-Maryland Beta Tau-Miami Beta Upsilon-Oregon State Beta Phi-University of Pennsylvania Beta Chi-Denver Beta Omega-Washington State Beta Psi-Alabama Gamma Alpha-Tennessee Gamma Beta-Tulsa Gamma Gamma-Texas Western Gamma Epsilon-Kent State Gamma Delta-Montana State Gamma Zeta-Louisiana State Gamma Eta-San Jose State Gamma Theta-Florida Gamma Iota-DePauw Gamma Kappa-California, Santa Barbara Gamma Lambda-California State, Fresno Gamma Mu-Florida State Gamma Nu-North Texas State Gamma Xi-Texas Tech Gamma Omicron-Indiana State Gamma Pi-Roanoke Gamma Rho-Wittenberg Gamma Sigma-Houston Gamma Tau-Texas Christian Gamma Upsilon-Wichita State Gamma Phi-Arizona State Gamma Chi-California State, Long Beach Gamma Psi-Emory Gamma Omega-St. Lawrence Delta Alpha-University of New Mexico Delta Beta-Kentucky Delta Epsilon-University of the Pacific Delta Zeta-Memphis Delta Eta-California State, Sacramento Delta Theta-Georgia State Delta Iota-Georgia Delta Kappa-South Florida Delta Lambda-Mississippi State Delta Mu-Florida Atlantic Delta Nu-Northern Illinois Delta Xi-Ball State Delta Omicron-Morehead State Delta Pi-Southern Mississippi Delta Rho-Virginia Tech Delta Sigma-Auburn Delta Tau-Missouri Southern Delta Upsilon-Indiana/Purdue, Fort Wayne Delta Phi-California, Irvine Delta Chi-California, Davis Delta Psi-Baylor Delta Omega-William Woods Epsilon Alpha-Union Epsilon Beta-Bucknell Epsilon Gamma-Virginia Epsilon Delta-Washington & Jefferson Epsilon Epsilon-Tennessee Tech Epsilon Zeta-Loyola Marymount Epsilon Eta-Indiana University of Pennsylvania Epsilon Theta-Tampa Epsilon Iota-California, San Diego Epsilon Kappa-Clemson Epsilon Lambda-Lehigh Epsilon Mu-William & Mary Epsilon Nu-James Madison Epsilon Xi-Lafayette Epsilon Omicron-Wyoming Epsilon Pi-Connecticut Epsilon Rho-Western Michigan Epsilon Sigma-San Diego State Epsilon Tau-Central Florida Epsilon Upsilon-Bradley Epsilon Phi-Loyola Epsilon Chi-South Carolina Epsilon Psi-Rutgers Epsilon Omega-Louisiana Tech Zeta Alpha-Villanova Zeta Beta-Dartmouth Zeta Gamma-Richmond Zeta Delta-Rochester Zeta Epsilon-Santa Clara Zeta Zeta-Boston Zeta Eta-Southwest Texas State Zeta Theta-Columbia Zeta Iota-Chapman Zeta Lambda-California, Riverside Zeta Kappa-Johns Hopkins Zeta Nu-Montevallo Zeta Xi-Alabama, Birmingham Zeta Omicron-Wilfrid Laurier Zeta Pi-Indiana/Purdue, Indianapolis Zeta Rho-Ohio University Zeta Sigma-Northern Kentucky Zeta Tau-Wake Forest Zeta Upsilon-Furman Zeta Phi-Harvard Zeta Chi-Delaware Zeta Psi-Salisbury State Zeta Omega-Kenyon Phi Alpha-Franklin Eta Alpha-Pepperdine Eta Beta-Hartford Eta Gamma-Texas A&M Eta Delta-North Florida Eta Epsilon-Vanderbilt Eta Zeta-Chicago Eta Eta-Spring Hill Eta Theta-Saint Louis University Eta Iota-Nevada-Reno Eta Kappa-North Carolina State Eta Lambda-New Mexico State Eta Mu-Lake Forest College Eta Nu-Hofstra University Theta Beta-Case Western Reserve

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