Active Member Contact Info

Please enter the contact info requested in the form below that includes information on you and on how we might communicate with your parents in the future in the event of an emergency like we just experienced.

This is part of our overall Risk management Policy and is required by TKE Office of the Grand Council.

Personal Info
FreshmanSophomoreJuniorSeniorGraduatedGrad School
What year in school are you? Please check one of the options. Please mark Graduated if you have graduated but are still attending but not in Graduate School.

Please enter the Semester and Year you expect to graduate. Please enter "unknown" if you do not know at this point.

For the semester please use Spring, Fall or Summer and then the year of expected graduation.

 List by year first then by semester Spring or Fall,
I.e.  2010 Spring or  2011 Fall

Enter your dorm and room number or the address of your off campus residence.  We assume your city, state and zip code is Maryville, MO 64468.

This is your "s-address" given to you by the University.

Please enter your cell phone number in this format: ###-###-####

Father's Info

Please enter the phone number in this format: ###-###-####

Mother's Info

Please enter the phone number in this format: ###-###-####