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Application of Interest


Email Address:
Your Full Name
Your Email Address (ex : you@aol.com)
Home / Cellular Telephone Number
Complete Mailing Address (including city & state)
Are you a registered voter? Yes
No
Are you employed? Yes
No
What is your sexual orientation? Lesbian
Bisexual
Heterosexual
Pansexual
How old are you? 18-20
21-25
26-30
30-35
35+
How did you hear of Kappa Xi Omega Sorority Inc? (choose all that apply) Web Search
Friend
Another LGBT organization
Word of Mouth
Interest Social
Flyer
Email
Other
Are you interested in the Kappa Xi Omega Sorority Inc Expansion Program? Yes
No
Maybe, I need for information
Would you be against traveling for membership intake? Yes
No
I am not sure
Are you active in your community? If so what projects are you active in?
What days/nights are you available?
Please attach a recent photo of yourself