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RUSH RECOMMENDATION:

Rush is the lifeblood of all Pi Kappa Alpha Chapters. If you know a young man who can both contribute to a chapter and develop himself through the Pi Kappa Alpha experience, please complete and submit this form. It will be forwarded to the Kappa Chi chapter. We strongly encourage you to recommend legacies, as the consideration of friends, brothers, and cousins is an important aspect of the Pi Kappa Alpha recruitment process.

Add comments at the bottom, if necessary.

Is this a legacy recommendation? Yes No Unknown

Rushee Information: 
             Name:
     Home Address:
             City:State: Zip:

    Current Addr.:
             City:State: Zip:

       Home Phone: Current Phone:
College Attending if Transferring:
            Class: Sophomore  Freshman

    Father's Name:                                
   Fraternity Affiliation?  Yes  No
     If yes, name:

    Mother's Name:
  Sorority affiliation? Yes   No
     If yes, name:

        Relatives in Pi Kappa Alpha:
    

        Rushee's High School:
    

        Academic record, honors & achievements:
    

        High School Activities, including sports:
    

        Hobbies:
    

        Additional Comments:

I understand that this is only a recommendation, and membership selection into Pi Kappa Alpha is a decision which rests entirely with the Kappa Chi chapter. 

Your name:
  Chapter:   Initiation Year:
  Address:
     City: State: Zip: