Alpha Gamma Rho, Epsilon Chapter

Are you interested in becoming an AGR member at Epsilon Chapter. Please fill in the following form and the information will be sent to the Recruiment Officer.

First Name:		* required
Last Name:		* required
Your E-Mail:		* required
Home Address:
Home City:
Home State:
Home Zip Code:		* required
Home Phone:
Cellular (mobile) Phone:
Campus Residence Hall (if applicable):
Campus Phone (if applicable):
High School:
Intended Major:
ACT/SAT Score:
GPA:
Agricultural Background:
School Activities (academic, organizations, sports etc):
Awards & Honors:
Future & Career Goals:		* required
What do you wish to obtain from being an Alpha Gamma Rho Brother?:		* required
Type in the validation code below.

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