Kappa League Application

Last Name *

First Name *

Middle Name

Date of Birth *

Age

Calculated from date of birth

Grade Level *

School Name *

School Address *

Student Email

Student Phone *

Current GPA *

Brief Bio (200 characters max)

0/200

Last Name *

First Name *

Relationship to Applicant *

Parent Email *

Parent Phone *

Home Address (if different from school)

Emergency Contact Name *

Emergency Contact Phone *

Other Interests (optional)

Leadership clubsCommunity serviceAcademic clubs (debate, STEM)Arts/Music

How does Kappa League align with your goals? *

Kappa League Program Objectives

Prepare for college with training, scholarships, and resources
Exposure to career paths via professionals
Develop intellectual and leadership skills
Parental support through discussions
Opportunities for college tours and leadership programs

I have read and understand the program objectives *

Commitment Statement — by applying to Kappa League, you commit to:

Active participation in all program activities
Mandatory attendance (unless excused)
Community service contributions
Upholding the values of Kappa Alpha Psi

I commit to active participation, mandatory attendance, and community service *

I authorize the use of my/my son’s name, photo, and video for publicity, recruitment, and media coverage of Kappa League activities *

Parental Permission and Liability Waiver

I grant permission for the applicant to participate in the Germany Alumni Kappa League. I release and hold harmless the Germany Alumni Chapter of Kappa Alpha Psi Fraternity, Inc., its members, and any individuals involved, from any accident, injury, illness, or damage related to participation. I am responsible for transportation and understand the time commitment and mandatory attendance.

I agree to the above waiver and give permission *

I authorize Kappa Alpha Psi members to seek medical treatment for my son in emergencies *

Applicant Signature / Name *

Parent Signature / Name *

By submitting this application, you confirm that all information provided is accurate and true. The Germany Alumni Chapter of Kappa Alpha Psi Fraternity, Inc. will review your application and contact you within 48 hours regarding the next steps in the selection process.

Applicant Personal Information

Kappa League Program Objectives

Commitment Statement — by applying to Kappa League, you commit to:

Parental Permission and Liability Waiver