| InterVarsity summer chapter directory |
InterVarsity summer chapter directory |
| info |
info |
| ? |
? |
| __ |
__ |
| _/_/_ |
_/_/_ |
| name |
name |
| ? male or ? female birthdate |
? male or ? female birthdate |
| _/_/_ |
_/_/_ |
| __ |
__ |
| _ |
_ |
| anticipated graduation date and major(s) |
anticipated graduation date and major(s) |
| __ |
__ |
| __ |
__ |
| permanent mailing address |
permanent mailing address |
| __ |
__ |
| __ |
__ |
| city |
city |
| state zip |
state zip |
| (_)__ |
(__)___ |
| _ |
_ |
| permanent phone |
permanent phone |
| e-mail ? this summer ? permanent |
e-mail ? this summer ? permanent |
| __ |
__ |
| __ |
__ |
| address this summer ? same as above |
address this summer ? same as above |
| or ? valid _/ – / |
or ? valid / – /_ |
| __ |
__ |
| __ |
__ |
| city |
city |
| state zip |
state zip |
| (_)__ |
(_)__ |
| (_)__ |
(__)___ |
| other phone this summer |
other phone this summer |
| fall phone (if known) |
fall phone (if known) |
| __ |
__ |
| __ |
__ |
| mailing address next fall (if known) |
mailing address next fall (if known) |
| __ |
__ |
| __ |
__ |
| city |
city |
| state zip |
state zip |
| Any comments? |
Any comments? |
| InterVarsity summer chapter directory |
InterVarsity summer chapter directory |
| info |
info |
| ? |
? |
| __ |
__ |
| _/_/_ |
_/_/_ |
| name |
name |
| ? male or ? female birthdate |
? male or ? female birthdate |
| _/_/_ |
_/_/_ |
| __ |
__ |
| _ |
_ |
| anticipated graduation date and major(s) |
anticipated graduation date and major(s) |
| __ |
__ |
| __ |
__ |
| permanent mailing address |
permanent mailing address |
| __ |
__ |
| __ |
__ |
| city |
city |
| state zip |
state zip |
| (_)__ |
(__)___ |
| _ |
_ |
| permanent phone |
permanent phone |
| e-mail ? this summer ? permanent |
e-mail ? this summer ? permanent |
| __ |
__ |
| __ |
__ |
| address this summer ? same as above |
address this summer ? same as above |
| or ? valid _/ – / |
or ? valid / – /_ |
| __ |
__ |
| __ |
__ |
| city |
city |
| state zip |
state zip |
| (_)__ |
(_)__ |
| (_)__ |
(__)___ |
| other phone this summer |
other phone this summer |
| fall phone (if known) |
fall phone (if known) |
| __ |
__ |
| __ |
__ |
| mailing address next fall (if known) |
mailing address next fall (if known) |
| __ |
__ |
| __ |
__ |
| city |
city |
| state zip |
state zip |
| Any comments? |
Any comments? |
Click to see HTML preview
Click to hide HTML preview
