Please Type Names, Greek Affiliations, Classification, Academic Major and Individual E-Mails

300 E Border
Arlington, Texas76010
817-265-4074 ~ / INITIATION FORM
MUST BE TYPED
Name of University:
Name of Chapter:
Number in Greek System:
Name of Person Requesting Materials: / Phone Number:
Address for Return of Pins and Certificates: (Greek Advisor’s Office Suggested)
E-mail: (in case of questions) / Date of Initiation:

PLEASE TYPE NAMES, GREEK AFFILIATIONS, CLASSIFICATION, ACADEMIC MAJOR AND INDIVIDUAL E-MAILS FOR EACH INITIATE.

**CERTIFICATES AND PINS WILL NOT BE SENT UNLESS A CHECK FOR DUES, $50 per member ($10 per Honorary), ACCOMPANIES THIS FORM**

*Order of Omega has begun to work with corporate sponsors for the purpose of assisting our members in securing jobs with top rated companies and providing additional scholarship revenue. We will share member information with these corporate partners for these purposes only unless the “Do not release info” box is selected.

New Student Initiate Listing:(Honorary Initiates Last Page)

Ex. / Name: / Jonathon Johnson / Greek Affiliation: / Upsilon Upsilon Upsilon / Classification: / Junior
Major: / Electrical Engineering / Permanent E-mail: / / Do not release info *: □
1. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
2. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
3. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
4. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
5. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
6. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
7. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
8. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:

Initiation Form page 2

9. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
10. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
11. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
12. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
13. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
14. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
15. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
16. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
17. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
18. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
19. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
20. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
21. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
22. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
23. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
24. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
25. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
26. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
27. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
28. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
29. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:

Initiation Form page 3

30. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
31. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
32. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
33. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
34. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
35. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
36. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
37. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
38. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
39. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
40. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
41. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
42. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
43. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
44. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
45. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
46. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
47. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
48. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
49. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:
50. / Name: / Greek Affiliation: / Classification: / SelectJuniorSenior
Major: / Permanent E-mail: / Do not release info *:

For additional student initiates, please begin a second form.

Initiation Form Page 4

Honorary Initiate Listing:

NAME / GREEK AFFILIATION / INDIVIDUAL E-MAIL