Membership Application for the  PI OMEGA CHAPTER of Phi Theta Kappa International Honor Society

For membership in Phi Theta Kappa, you must have:

• a cumulative GPA of at least 4.50, and
• at least 12 hours of completed college level course work.

Lori Garrett, Director of Scholars Programs,
Room 282 Mary Miller Center,
Danville Area Community College,
2000 E. Main St.,
Danville  IL  61832.

Please clearly print or type all information requested.

Name:

First:

Middle:

Last:

Address:

Street:

City, State:

Zip:

Social Security Number (required for membership processing):

Email (used for chapter correspondence):

Telephone number:
 

Area code:

Phone number:

Expected graduation/transfer date:

Month:

Year: 20_____

Academic Major:_________________________________________________________
 

By completing this form, I certify the following: I meet all membership eligibility requirements for Phi Theta Kappa. I believe in and support the purpose of the Society as stated in the Phi Theta Kappa Constitution. I adhere to the moral standards of the Society. I currently enjoy full rights of citizenship, freedom, and privileges of my country (International students attending college on a United States visa and who possess full right of citizenship of their country are eligible for membership). I understand that there is a required cumulative GPA (4.50 for admission, 4.25 to maintain) for membership in Phi Theta Kappa and agree to notify my chapter advisor (Lori Garrett) immediately if at any time I fail to maintain my chapter's maintenance GPA. I solemnly promise to uphold the standards of Phi Theta Kappa, and to make this object and aim foremost in my mind, and I do solemnly pledge allegiance to my fellow members and promise to aid them in all worthy endeavors. Signature:  _______________________________________________________________  Date:          ___________________

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