Sigma Nu - Theta Kappa - Chapter Eternal Report

Your Name

FirstLastMaiden

Your Initiate Number or Affiliation with the Chapter

Your Phone Number required

(###)#######

Your Email Address required

Alumnus Name for Chapter Eternal required

FirstMiddleLastSuffix

Nickaname (Name he goes by)

Initiate Number, if known

Date of Passing, if known

MMDDYYYY

Last Known Address, if known

Street AddressAddress Line 2CityState / Province / RegionZip / Postal CodeCountry

Spouse's Name or Parents, if known

Name of alumnus, collegian, or friend that may have more information:

Fraternity/GSU Offices Held:

Achievements & Honors in Life, GSU, or the Chapter:

His Big Brother in the Chapter:

His Little Brother(s) in the Chapter:

Any other close brothers or fiends that might able to provide information:

Attach a MS Word, Text, or PDF file for draft write-up or obituary, if you have.

Please provide a brief "write-up" or a news event about one of our alumni or collegians. We will review, edit, contact you if we have questions, and publish to the news page.

Write-Up

Email receipt to:

FirstLast

Email