Recruitment Referral Form

This form is intended to be used by alumni, family, and friends interested in recommending a current or incoming student of the University of Nebraska-Lincoln for membership in the Beta Tau Chapter of Delta Tau Delta. Once you have completed the form click the submit button and your recommendation will be sent to the Director of Recruitment. You will be contacted with updates accordingly. Thank you for your recommendation.

Recruitment Referral Form

Your Name *

First

Last

Your Phone *

Your Email *

Are you a Delt alumnus? *

• Yes
• No

If an alumnus, which chapter and graduation year?

Prospect's Information *

First

Last

Prospect's Address *

Address Line 1

Address Line 2

City

— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingState

Zip Code

Prospect's Phone *

Prospect's Email *

Current Academic Status *

• Incoming Freshman
• Current Freshman
• Sophomore
• Junior
• Senior
• Non-Traditional Student

If currently attending high school, school name and town:

Name of Parent(s)/Guardian(s):

Does this prospect have a relative who is a Delt member? *

• Yes
• No
• I don’t know

Academic record, honors, achievements, extra-curricular activities, etc:

Other comments you would like to share with our recruitment team:

Submit