User account

Beta Information

Membership Type: *

Select your affiliation with Beta Theta Pi.

Roll Number:

Beta Theta Pi roll number

Chapter Offices Held:

Enter any chapter offices you held while an active member.

Pledge Class:

Enter the semester you pledged.

Account information

Username: *

Your preferred username; punctuation is not allowed except for periods, hyphens, and underscores.

E-mail address: *

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.

Personal Information

First Name: *

Last Name: *

Address: *

Address (cont..):

City: *

State: *

Zip Code: *

Phone Number: *

Cell Phone:

The content of this field is kept private and will not be shown publicly.

Volunteer Information

Chapter Newsletter

Would you like to receive the Chapter newsletter? The content of this field is kept private and will not be shown publicly.

Sponsor Rush Events

Would you like to sponsor rush events? The content of this field is kept private and will not be shown publicly.

Attend Alumni Functions

Would you like to attend alumni functions? The content of this field is kept private and will not be shown publicly.

Volunteer Time

Would you like to volunteer time? The content of this field is kept private and will not be shown publicly.

Group e-mail settings

Opt-out of Mass E-mails

Allows you to opt-out of group e-mails from privileged users. Note that site administrators are able to include you in mass e-mails even if you choose not to enable this feature, and the ability to opt-out may be removed by the administrator at any time.

CAPTCHA

This question is for testing whether you are a human visitor and to prevent automated spam submissions.

Navigation

User account