Theta Delta Chi at University of Iowa - Interest Form

This form is for referrals to the Theta Delta Chi Fraternity at the University of Iowa. If you are an interested student filling this out yourself, fill out the form to the best of your ability. 

Name of person filling out this form
Please give your First and Last name.
Name of student being referred
First and Last name of the student you are referring to join Theta Delta Chi
What year in school is your referral?
Choose their current grade level





Do they live on campus?



If you have any additional referrals, please include their contact information. If not, just type 'no'
Referral's phone number
Referral's email address