Rush Form — AEPi Georgetown

Name

First Name

Last Name

Email Address

Cell Phone

(###)

###

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School & Intended Major

Do you or any of your family members identify as Jewish?

What activities did you do in high school?

Athletics

Theater

Music

Speech and Debate

Community Service

Student Government

Other

What else are you (or do you plan to be) involved in at Georgetown?

Dorm?

Ex: Harbin 715

If one song played every time you entered a room, what would it be?