ࡱ> )+([ objbj "jjo l  q s s s s s s $  - > >>>q >q >> % q  #J:= q 0 E ,j"jq >APPLICATION FOR PSI CHI MEMBERSHIP (For chapter records and verification do not send to National Office) Name_________________________________________Soc.Sec.#__________________ Current Address: ________________________________________________________ ________________________________________________________________________________________________________________________________________________ Telephone Number: _______________________________________________________ E-mail Address: _______________________________@________________________ Classification: Sophomore % Junior % Senior % Graduate % Estimated Graduation Date (Month/Year): ____________________________________ Psychology courses taken to date: Course (Name & Number) Grade Received Credit Hours ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Estimated Cumulative GPA _________ Estimated Psychology GPA __________ I hereby authorize the Psi Chi faculty advisor to review my college records for the sole purpose of determining my eligibility for becoming a member of Psi Chi. _________________________________________ (Signature of Applicant) Return this form to the Psi Chi box at 280 South Along with Check/ Money Order for $45.00 ($35 National and $10 Chapter Dues) Made Out to Psi Chi Chapter 982 NO LATER THAN APRIL 2, 2004 List below the names of any other interested psychology students who did not receive this notice. ___________________________ __________________________________ _________________________________ __________________________________ Remember, you must join Psi Chi while you are a student. We are happy that we are able to offer you the privilege of joining Psi Chi as soon as you are eligible. Active participation is encouraged. We hope that you can join now. Signed: _______________________________________ Date: ____________________ Chapter Officer or Faculty Advisor #m M t Ino>*CJ>*CJ #klmV- F  M  ^dh^@ ^@ d & F & Fdh$a$oIod^$^a$^ 1h/ =!"#$% i8@8 NormalCJ_HaJmH sH tH D@D Heading 1$dh@&^ 5CJ\F@F Heading 2$$dh@&^a$5\<A@< Default Paragraph Font.>@. Title$a$ 5CJ \HC@H Body Text Indentdh^5\LR@L Body Text Indent 2$hdh^ha$o #klm+q-FM  I q 0@0@0@0 0 0 0 0 0 0 0@0@0@0 0@0@0@0@00@0@0@0@0@0@0@0@0@00o o o q * 1 q 333n q  Cathy Smith&C:\My Documents\APP FOR MEMBERSHIP.doc Cathy Smith&C:\My Documents\APP FOR MEMBERSHIP.doc Cathy Smith&C:\My Documents\APP FOR MEMBERSHIP.doc Cathy SmithA:\APP FOR MEMBERSHIP.doc Cathy SmithVC:\WINDOWS\Application Data\Microsoft\Word\AutoRecovery save of APP FOR MEMBERSHIP.asd Cathy SmithA:\APP FOR MEMBERSHIP.doc Cathy SmithVC:\WINDOWS\Application Data\Microsoft\Word\AutoRecovery save of APP FOR MEMBERSHIP.asd Cathy SmithA:\APP FOR MEMBERSHIP.doc Cathy SmithA:\APP FOR MEMBERSHIP.docOgboguH[C:\Documents and Settings\ogboguh.UHD_WINS\Desktop\APPLICATION FOR PSI CHI MEMBERSHIP33.dotvsNc(2R^`o(.^`.pLp^p`L.@ @ ^@ `.^`.L^`L.^`.^`.PLP^P`L.vsNc         @t(o P@PP@UnknownGz Times New Roman5Symbol3& z Arial"hC&C&dv!20 F2Q"APPLICATION FOR PSI CHI MEMBERSHIPOgboguHOgboguHOh+'00 @L h t  #APPLICATION FOR PSI CHI MEMBERSHIPsPPLOgboguHgbogbo%APPLICATION FOR PSI CHI MEMBERSHIP33ft OgboguH1boMicrosoft Word 9.0 @G@J1@LsJ@8J՜.+,0  hp|  C 2 #APPLICATION FOR PSI CHI MEMBERSHIP Title !"#$%&'*Root Entry F 0+J,1TablejWordDocument"SummaryInformation(DocumentSummaryInformation8 CompObjjObjectPool 0+J 0+J  FMicrosoft Word Document MSWordDocWord.Document.89q