Information Request Form Information Request Form Please use this form to request additional information about membership in Omega Phi Beta as a prospective member, parent, or college/university official. For general inquiries or questions about sponsorship or partnership opportunities please use the "Contact Us" link instead. Name: * (first) Last Name * (last) Email: * Phone: City: * State: * AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code: College / University: I am... * Interested in Joining OPBSIA University/College OfficialA Parent or Guardian Choose the statement that best describes you I would like more information about: Joining an existing chapter or collective Starting a collegiate / undergrad chapter Starting an alumnae / professional chapter OPBSI's expansion policies Resources for parents of prospective members Other (Please specify below) Additional Comments: How did you hear about OPBSI? Search Engine Result (i.e. Google) From Current Member From Member of Greek Community OPBSI Facebook OPBSI Twitter OPBSI Instagram Assoc. of Fraternity/Sorority Advisors (AFA) Campus Administrator Other Social Media Website Friend Other Captcha Δ