Welcome to the Grand Chapter of Lambda Phi Theta Fraternity, Inc.

Email Address:
Name:
Home/Cell Number
What is the best time to contact you?
Mailing Address Include: Apt# with City, State, and Zip Code
Age and Date of Birth
Are you a Registered Voter?	Yes No
Are you currently employed?	Yes No
What is your Sexual Orientation?	Gay Bisexual Heterosexual Gay Friendly
What is your Race?	African American Caucasion Hispanic Latin Native American Other
How old are you?	21-25 26-30 31-35 40+
How did you hear about Lambda Phi Theta Fraternity, Inc.	Friend Flyer Web Search Another LGBT Organization Word of Mouth Email Other Interest Social
Are you interested in setting up a chapter in your city/state?	Yes No Maybe with more information
Are you against traveling for Membership Intake?	Yes No Maybe depending on distance
Are you a member of any other organizations?
What are your goals?
Are you involved in your community?
Educational Background?
What do you feel you can bring to this organization?

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Coming Soon. Please email the Membership Committee at membership@lambdaphitheta.org for more information.