Zeta Phi Zeta Christian Fraternity and Sorority Inc. Please Print Legibly Zeta Phi Zeta Christian Fraternity and Sorority Inc. Personal Information Full Name Marital Status Age Date of Birth Home Address City State Cell Phone# Other Contact Phone# Zip Code Email Address Current School Information School Name Address (Dorm, if applicable) City State Zip Code G.P.A Dorm Phone # (if applicable) Major Minor Years Attended Degree/Certificate Received Year Received Groups, clubs or organizations you are/were apart of while in school Zeta Phi Zeta Christian Fraternity and Sorority Inc. Prior Education College/University 1 Name City State Enrollment Dates: From To Major Minor In what? State Did you receive a Degree? Zip Code G.P.A College/University 2 Name City Enrollment Dates: From To Major Minor In what? State Did you receive a Degree? Zip Code G.P.A College/University 3 Name City Enrollment Dates: From To Major Minor In what? State Graduation Month and Year G.P.A Major Minor Did you receive a Degree? Zip Code G.P.A High School Name City Did you receive a Diploma? Zip Code G.P.A Zeta Phi Zeta Christian Fraternity and Sorority Inc. Church Affiliation Church Name Address City State Zip Code Phone Number Pastor’s Name Years of Membership Ministry Involvement Church Website Address Medical History Conditions Allergies Medication Zeta Phi Zeta Christian Fraternity and Sorority Inc. Emergency Contacts Name Relationship to you Address Home Phone Cell Phone Work Phone Name Relationship to you Address Home Phone Cell Phone Work Phone Cell Phone Work Phone Name Relationship to you Address Home Phone Zeta Phi Zeta Christian Fraternity and Sorority Inc. References Please provide the name and contact information of three (3) relatives and/or friends that can comment about your character and spiritual integrity. Name Relationship to you Address Home Phone Email Email Name Relationship to you Address Home Phone Name Relationship to you Address Home Phone Email Date Sign your name above Zeta Phi Zeta Christian Fraternity and Sorority Inc. Membership Questionnaire For New Membership (Please type responses on a separate sheet of paper) 1. What have you heard about Zeta Phi Zeta? 2. Do you think that Christian Fraternities and Sororities are needed on college campuses? Why or why not? 3. What do you think the difference is between Zeta Phi Zeta and other non‐Christian Greek Letter Organizations? 4. Why do you possess an interest in Zeta Phi Zeta and not another Greek Letter Organization? 5. What are your strengths and weaknesses? 6. How do you handle pressure? Make reference to a particular situation 7. Do you think that you would be able to balance work, everyday life, school (if applicable), the work load of an active Christian Fraternity and Sorority, ministry involvement, and a right relationship with God? 8. Are you willing to sacrifice things and/or people you love for God? 9. How would you define a virtuous woman/mighty man of God? 10. If you had to choose one scripture to live by what would it be and why? 11. What is brotherhood/sisterhood? Zeta Phi Zeta Christian Fraternity and Sorority Inc. New Membership Agreement I, hereby agree that all information within this packet is true to the best of my knowledge. I understand that although this is a Membership Packet, it does not guarantee my acceptance into Zeta Phi Zeta, Inc. but upon further review, I may be accepted onto the grafting line. I agree to do all that is asked of me and I understand that my failure to do anything that is asked of me by any leader and/or Graft Master can result in my immediate dismissal from the Grafting Line. I am required to be at every scheduled meeting and if I am absent from more than one(1) meeting unexcused, I can be immediately dismissed from the Grafting Line. Participant’s Printed Name Participant’s Signature Signed this day of Zeta Phi Zeta Christian Fraternity and Sorority Inc. 20