BETA CHAPTERS ONLY: MPS - Recipient Submission

Personal Contact Information

Hello! This survey will capture information about your Men of Principle Scholarship recipient(s). Completing this survey and submitting the required information will allow the Beta Theta Pi Foundation to award scholarship winnings to your recipient(s). THIS IS NOT AN INDIVIDUAL SCHOLARSHIP APPLICATION PAGE AND IS FOR CHAPTER USE ONLY.

If you have questions or need help, please email Associate Director of Growth Steven Del Campo, Dayton '23, at steven.delcampo@beta.org.

1. Your First Name *This question is required.

2. Your Last Name *This question is required.

3. College/University *This question is required.

4. Chapter Officer Position *This question is required.

Please enter an 'other' value for this selection.

5. Email Address (that you most regularly check) *This question is required. This question requires a valid email address.

6. Cell Phone Number *This question is required.