Beta Theta Pi | Scholarship Application

Scholarship Application

Please complete the following information. By applying for this scholarship you are not committing yourself to membership in Beta Theta Pi or any other organization. The scholarship will be awarded at an invitation only reception.

Personal Information

First Name:*
Middle Name:
Last Name:*
Date of Birth:	//

Contact Information

Summer Address:*
City:*	State:* Zip Code:*
Phone Number:*	() -
Email:*

Academic History

Standing in Fall '08:*	Fr. Soph. Jr. Sr.
High School:*
Class Rank:*	/	H.S. GPA:*
Transfer Student:*	YesNo	GPA (if transfer):
Intended Major:*

Extracurricular Activities / Information

Was your father or any other relative a member of a fraternity?*
Yes No	If so, which fraternity?
What have you, or do you, expect to gain from the college experience?*

High School or College Activities, Societies, Clubs, Community Service, etc.:*

Hobbies, Interests, Sports:*

Explain qualities and attributes that will best allow you to succeed throughout your college career:*

Would you like to receive more information on Beta Theta Pi?*
Yes No

* denotes required field

"The first mark of a Beta will be his Beta spirit."
-Willis O. Robb, Ohio Wesleyan 1879