New Member Claim Account

System - Alpha Claim Account

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You have already claimed your Alpha account. You may login to Pride Online to check the Alpha Member checklist.

Welcome to the Alpha Member claim account process!

Enter your information below to claim your account. Some fields have information provided by your New Member Coordinator. If any information is incorrect, please correct it.

NOTICE: If your name is not prepopulated below, please DO NOT continue completing this form. This likely means you are using the wrong link for your account. Contact your chapter leadership and ask for your claim account link to be resent to you. Again, if your name is not prepopulated below, DO NOT complete this form. Thanks.

Chapter

Chapter Name

Personal Information

First Name *

Middle Name

Last Name *

Preferred First Name

Guardian One Name

Guardian Two Name

Guardian One Email Address

Guardian Two Email Address

Home Phone

School Phone

Cell Phone *

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Phone *

Birthdate *

Lookup Table Name = YEARSGRAD

Expected Graduation *

Expected Graduation Year - NO LONGER USED

Home Address

Address Line 1 *

Address Line 2

Country *

City *

State/Province *
Select country first to see list of states/provinces.

Zip/Postal Code *
Enter zip/postal code only (example: 30126). Enter 00000 if your address doesn't have a zip/postal code.

School Address

Address Line 1 *

Address Line 2

Country *

City *

State/Province *
Select country first to see list of states/provinces.

Zip/Postal Code *
Enter zip/postal code only (example: 30126). Enter 00000 if your address doesn't have a zip/postal code.

Communications

Email Address *

Please enter a personal, non-academic email address. *

I hereby consent to receive all notices, including notice of Standards Council Meetings, Formal Hearings, and Financial Delinquency, at the above email address: *

Would you like to receive The Adelphean, Alpha Delta Pi’s quarterly magazine, in electronic form only? Select yes to get notified via email upon Adelphean release. Select no to receive a printed copy in the mail. *

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