IFC/CPC/Local Interest Verification Form
Chapter Name: _______________________
Students who wish to participate in membership intake a fraternity or sorority must meet the minimum
academic qualifications of the chapter and national organization for which they are seeking membership.
The above noted chapter requires that interested students have completed a minimum of _______ hours of
university course work and have attained a minimum grade point average of a ________ on a 4.0 scale.
Interest Information
Name
Student ID #
Phone
Email
Signature
GPA (OSI Verify)
By completing and signing this form, you, the student interested in membership in an organization, consent to
have the Office of Student Involvement verify your hours completed and grade point average to verify your
eligibility and share this information with the chapter in which you are seeking membership.
We hereby declare that on______________ (date of recruitment/rush event), the above individuals are
aspirants for membership into our organization and will be considered for membership pending verification of
eligibility and the decision of our regional/national representative(s).
I confirm that this interest meeting was held in compliance with our national organization’s procedures and
guidelines.
Chapter President: ___________________ Chapter Advisor: _________________________