Expansion Request Form

For more information about expansion and how to bring a chapter of Theta Nu Xi to your campus or city, please complete and submit the form below. All fields marked with an asterisk are required.

Full Name*
Email *
Confirm Email *
Phone *

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Are you interested in undergraduate expansion or graduate, alumnae, and professional (GAP) expansion?*
 Undergraduate 
 Graduate, Alumnae & Professional (GAP) 
 Not Sure 
What is your year (classification) in school? (For undergraduate expansion inquiries.)
 Freshman 
 Sophomore 
 Junior 
 Senior 
 Other 
What college or university do you attend? (For undergraduate expansion inquiries.)
What city do you reside in? (For GAP expansion inquiries.)
Why are you interested in bringing Theta Nu Xi to your campus or community? *
1000 Characters Maximum
Additional Information?
1000 Characters Maximum