HARTFORD ALUMNAE CHAPTER MEMBERSHIP VERIFICATION FORM

Please complete this form at least 3 days prior to attending a chapter meeting. Once your membership is verified, we will contact you. This form is ONLY for members of Delta Sigma Theta and NOT for persons interested in membership.  If you are seeking membership in Delta Sigma Theta Sorority, Incorporated, please click here.

Name *
Name
Please list maiden name f you were initiated under your maiden name.
Home Address *
Home Address
Home Phone
Home Phone
At least one phone number is required
Cell Phone
Cell Phone
At least one phone number is required
Full Name at Time of Initiation *
Full Name at Time of Initiation
If you don't know your membership number, please submit a Grand Chapter Membership Information Request form. A link to this form is located on the "Reconnect with Delta" webpage.
Full Name When Last Active *
Full Name When Last Active
Please type your full name at the last time you paid Grand Chapter Dues