| CONTACT INFORMATION |
| First Name* |
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| Last Name* |
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| Address* |
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| Address 2* |
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| City* |
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| State* |
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| Zip* |
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| E-mail* |
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| Phone* |
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| Cell Phone* |
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| Date of Birth* |
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| EDUCATIONAL INFORMATION |
| University/College* |
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| Graduation Date* |
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| Degree(s)* |
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| COLLEGE CHAPTER INFORMATION |
| Chapter Name* |
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| University/College* |
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| Date of Initiation* |
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| DZ Offices/Committees |
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| Please share your experiences in the below categories (e.g., offices held, conferences attended, honors received, etc.). |
| Campus Activities |
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| Campus Leadership |
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| Delta Zeta, Campus and Academic Honors |
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| ALUMNAE EXPERIENCE |
| Are you an active member of an alumnae chapter or chapter association?* |
Yes
No
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| If yes, enter name of chapter or chapter association here. |
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| Previous Delta Zeta Volunteer Experience (i.e., former CCD, National Chairman or Committees, Alumnae Chapter Officer) |
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| Have you ever attended National Convention or a Leadership Conference?* |
Yes
No
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| Volunteer and Community Activities |
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| Religious or other activities |
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| PROFESSIONAL EXPERIENCE AND WORK TOOLS |
| Work/Profession |
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| Skills (i.e., computer, graphic designer, sales/marketing, journalism, etc.) |
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| Do you have the following available for your use? |
computer
printer
fax
internet access
MS Word
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| VOLUNTEER OPPORTUNITIES |
| Amount of time available for volunteer role |
weekly
monthly
periodic - as needed
periodic - by topic
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| Number of hours available for volunteer role |
1-2 hours
3-5 hours
6-9 hours
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| If you would like to work with a collegiate chapter, which one? |
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| I would like to volunteer as a: |
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| I would like to volunteer to present workshops. |
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| I would like to volunteer to serve on a National Committee. |
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| I would like to volunteer in the alumnae area. |
Membership
Development
Public Relations
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| Other volunteer interests |
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