Membership Verification Form

If you are a member of Delta Sigma Theta and would like to join our chapter, attend sorority meetings, or sorority functions and you are new to the area, we are required to validate your status in the sorority. Please submit the following information to our chapter for verification of your membership status through National Headquarters.

First name*:		Last name*:
Address*:		City*:
State*:		Zip*:
Email:		Phone*:
Membership number*:		Initiation date*:
Name at time of initiation*:
Chapter of initiaion*:
Last chapter you were financial with*:
Referring Soror:	If a particular soror helped reclaim you, please provide her name above.

Delta Sigma Theta Sorority, Inc. Kansas City MO Alumnae Chapter | PO Box 5272 Kansas City, MO 64112 | deltas@dstkcmo.org
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