Recommend Someone

Please fill out the form below to provide us as much information as possible about the young man you are recommending.

YOUR INFORMATION:

What is your full name?
E-mail address?
Street address?
City?
State?          Zip Code?
        
Phone Number?
Lambda Chi Alumnus
Zeta Number (alumni only):
 HIS INFORMATION:

What is his full name?
E-mail address?
Street address?
City?
State?          Zip Code?
        
Phone Number?

HIS INFORMATION (continued):

When will you start attending MSU?
 Currently Already Attending
 Spring 2006
 Summer 2006
 Fall 2006
 Spring 2007
 Summer 2007
 Unknown


What is his current classification?
 High School Junior
 High School Senior
 Freshman
 Sophomore
 Junior
 Senior
 Unknown


What high school, community college, or university does he currently attend?

Any additional comments:

 *NOTE:  Once you press send, you will be asked to confirm your information.  Please click "Continue >>>" on the next page.  This is to ensure that webmasters do not abuse these email forms provided by Bravenet (i.e. making a website that looks like AOL or other predominate sites in order to steal credit card numbers, etc.)

Webmaster: Andrew Evans
 This Page Last Updated: 01/15/2006
URL: http://www.msstate.edu/org/lca/prospectives2.htm
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