1. PHI IOTA ALPHA FRATERNITY, INC. BETA CHAPTER, SUNY@STONY BROOK For more information log on to www.betaphiotas.com e-mail: raul.toloza@gmail.com or call 917-595-8544 CRITERIA / REQUIREMENTS E-mail: Ciclon1931@gmail.com or call (347)720-5815

2. PHI IOTA ALPHA FRATERNITY, INC. BETA CHAPTER, SUNY@STONY BROOK For more information log on to www.betaphiotas.com e-mail: raul.toloza@gmail.com or call 917-595-8544 NAME: DATE OF BIRTH: ACADEMIC STATUS: ADDRESS: CITY:STATE:ZIP: HOME PHONE: SCHOOL PHONE: CUM GPA (4.0 Scale) : ETHNIC BACKGROUND (Optional) : By signing this application, I affirm that the documentation I am submitting is accurate to the best of my ability. If any information is found to be inconsistent or inaccurate, I do understand that I will be disqualified from the competition. Signature Date PART I – GENERAL INFORMATION Freshmen Sophomore Junior Senior E-mail: Ciclon1931@gmail.com or call (347)720-5815

3. PHI IOTA ALPHA FRATERNITY, INC. BETA CHAPTER, SUNY@STONY BROOK For more information log on to www.betaphiotas.com e-mail: raul.toloza@gmail.com or call 917-595-8544 DON JOSE MARTI – BIOGRAPHY E-mail: Ciclon1931@gmail.com or call (347)720-5815