There's one important step before you reach the Delt. We would greatly appreciate it if you could fill out the following questionnaire for historical and record keeping purposes. Fill in only what you want of the following. If you feel your answer can not be completely explained in the space provided, or you wish that certain information not be published, please comment on that in the space provided at the end of the form.
Name:
E-mail Address:	[required: if not applicable please type "NA"]
(Home) Street:
(Home) City:
State or Province:	(none) Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska New Hampshire New Jersey New Mexico New York Nevada North Carolina North Dakota Oklahoma Ohio Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland Nova Scotia Northwest Territories Ontario Prince Edward Island Quebec Saskatchewan Yukon
Country:	Canada United States (other) If other:
Zip:
Home Phone:
(Business) Street:
(Business) City:
(Business) Zip:
Business Phone:
Fax:
Web Address:
Other Contact Info.: (AIM, ICQ, Pager#, etc.)
What terms were you at Michigan?	Term Fall Winter Spring Summer 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 Year 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 to Term Fall Winter Spring Summer 1888 1889 1890 1891 1892 1893 1894 1895 1896 1897 1898 1899 1900 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 Year 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008
What positions on campus did you hold? When?
Were you involved in campus athletics? What and when?
What was your AM class's name, if applicable?
What rooms did you live in and when?
Who was your big brother?
Who was/were your little brothers?
What was your nickname?
What was your major?
If applicable, which graduate school did you or are you go/going to?
What did you study in graduate school?
Check any executive positions you held:
"A"	What year:
"B"	What year:
"C"	What year:
"D"	What year:
"E"	What year:
"F"	What year:
What other positions did you hold or currently hold and when?
What awards have you won as member or alumnus? When?
What is your current occupation and/or title?
With what company?
Do you have any items in "good" condition you can donate to the fraternity?
Name of Wife:
Date of Marriage:
Do you have any children?	Yes No
If yes, please list names and birthdates.
Recent alumni events you have attended:
What other organizations have you joined besides Delta Chi?
Do you know anybody coming to UofM that may be interested in rushing Delta Chi?
Please use this box to write us any comments and/or suggestions you may have. If you have recently switched jobs, moved, received a promotion or honor, please note it here. In short, what's happening in your life? (Also add messages to other alumni or anything you want printed.)
Send yourself a copy of this message.