Alpha Delta Pi Potential Member Profile Template

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Potential Member Profile
To be completed by members of Alpha Delta Pi only
Instructions for using this form:
This form must be endorsed by either an individual or an alumnae association, but need
not receive the endorsement of both.
Collegiate members may only submit Potential Member Profiles for women attending
universities other than their own.
Attach a photo and résumé with this form, if available.
A personal letter may also be attached, if desired.
For chapter addresses and recruitment dates, please check the
Mail this form directly to the chapter. Do not send to Executive Office.
Alpha Delta Pi website at Click on the
If submitting this profile for a Legacy, a Legacy Introduction Form must also be completed
MyADPi tab then on Alumnae. The information will be under
and mailed to the chapter.
Potential Member Profile and Legacy Forms.
potential member information
Name (Last, First, Middle, Preferred)
Home Address (Street, City, State, ZIP)
High School Attended
Year Graduated
Previous College/University Attended
Upcoming Year in School
Freshman
Junior
Sophomore
Senior
High School or College GPA (most recent)
ACT Score
SAT Score
family information
Father’s Name
Fraternal Affiliation/College
Mother’s Name
Sorority Affiliation/College
Additional Alpha Delta Pi Relatives
Mother (full name, maiden name, college)
Sister (full name, maiden name, college)
Grandmother (full name, maiden name, college)
Stepmother (full name, maiden name, college)
Other (relation, full name, maiden name, college)
Other sorority influences
potential member attitude
Friendly
Reserved
Enthusiastic
Positive
Other
Poised
Loyal
2014

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