Starting A New Pi Kappa Alpha Chapter

I am a student who is interested in starting a new Pi Kappa Alpha chapter on my campus.

Your Name:
Your Address:
City: State: Zip:
Your Phone:
Your Email:
Your School:
Your Major:
Current Undergraduate Status:
Current Grade Point Average:
Describe your high school/college activities (varsity sports, student government, etc.):
Describe your community involvement activities:
Reasons for inquiring/pursuing Pi Kappa Alpha:
List others interested in forming a fraternity:
University contacts (please provide name, phone, address and email information):
Personal goals for a fraternity if you were in one: