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Tau Kappa Epsilon Fraternity - Xi Eta Chapter
Missouri Western State University
Rush Form

This rush form is designed to obtain information about you and to give you the opportunity to find out more information about Tau Kappa Epsilon Fraternity at Missouri Western State University. 

All items must be answered, except questions 2, 4, and 5.

First Name:
Last Name:
Mailing Address:
City, State, Zip:
Phone Number: Best number to reach you at !!
(please use dashes, ex. 816-294-9999)
Email Address:
Age:
Currently I am:
Anticipated Date of
Graduation:		 (semester and year)
Anticipated Major:
Are you currently
employed? If yes, where?
Questions
1. I am considering rushing: 

As soon as possible
Next semester
Future semester
Not sure when

2. I want to know more about Tau Kappa Epsilon activities:

Community Service
Fundraising
Athletics
Social Functions
Brotherhood Functions
Scholarship Programs

3. What has been your main source of information about the Xi Eta chapter of Tau Kappa Epsilon? 

4. Please list any other talents, hobbies, etc. that you would like to share with us.
5. Any questions you would liked answered?