Debutante Application

Personal Information

*First Name:

Middle Name:

*Last Name:

*Address:

*City:

* State:

*Zip Code:

*Email Address:

*Confirmation Email Address:

*Phone:

*Date of Birth:

High School

*Name of High School:

*Grade Point Average (G.P.A.):

Awards/Recognitions/Honors:

Volunteer Work:

Clubs/School Activities:

Talents/School Sports:

Hobbies/Favorite Pastime:

College and Military

College Name:

College Major:

College Minor:

Career Ambition: Please give details and list anything you have done toward realization of the ambition.

Military:
Air Force
Army
Coast Guard
Marines
Navy
I do not plan on joining the Military.

Church Affiliation

*Name of Church:

*Minister's Name:

Church Activities:

Reference

*Name:

*Phone Number:

*Address:

*Email Address:

*Name:

*Phone Number:

*Address:

*Email Address:

*Name:

*Phone Number:

*Address:

*Email Address:

"Why I Want To Be A Kappa Debutante?"

STATEMENT OF PURPOSE AND CONDITION OF CANDIDACY: THE MEMPHIS ALUMNI CHAPTER’S DEBUTANTE PRESENTATION HAS BEEN ADOPTED AS A SOCIAL PROJECT WITH ITS MAIN GOAL OF FOSTERING HIGH MORALS, ACADEMICS, AND LEADERSHIP STANDARDS AS WELL AS THE SOCIAL DEVELOPMENT OF YOUNG LADIES WHO ARE CURRENTLY ENROLLED AS SENIORS IN HIGH SCHOOL OR ACCREDITED CLASSES AND ARE PROSPECTIVE GRADUATES IN MEMPHIS AND THE SURROUNDING AREA. I THEREFORE AFFIRM THAT I UNDERSTAND AND MEET THE ABOVE STATEMENT OF PURPOSE AND WOULD LIKE TO BE CONSIDERED AS A CANDIDATE FOR THE 74 DEBUTANTE PRESENTATION. I FURTHER AFFIRM THAT IF I AM CHOSEN, I WILL BE ON TIME AND PRESENT FOR ALL EVENTS AND WILL ABIDE BY THE RULES AND REGULATIONS AS SET BY THE DEBUTANTE COMMITTEE. FAILURE TO DO SO OR MISREPRESENTATION OF ANY OF THE RULES AND STATEMENT ON THIS APPLICATION, WILL DISQUALIFY ME AND THEREBY CAUSE ME TO FORFEIT MY RIGHT OF PRESENTATION AND ANY FEES PAID TO MEMPHIS ALUMNI CHAPTER OF KAPPA ALPHA PSI FRATERNITY, INC. FOR THE PRESENTATION.

Memphis (TN) Alumni Chapter of Kappa Alpha Psi Fraternity, Inc.

Memphis (TN) Alumni Chapter
of Kappa Alpha Psi Fraternity, Inc.