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Academic Major: ACCT ART BIO BUS CHEM COMM COMP CRIM DENTAL EDUC ENGL HEALTH HIST INFOTECH LITER MARKET MATH MGMT MEDTEC NURS PHYS POLSCI LAW MED PSYCH ADV SOCIO TRAVL VETMED RELIG OTHER

MEMBERSHIP AUTHORIZATION

By completing this form you certify the following: I have met all membership eligibilty requiremtns for Phi Theta Kappa, and have been extended an invitation for membership in my local chapter. I believe in and support the purpose of the society as stated in the Phi Theta Kappa Constitution, adhere to the moral standards of the Society, and currently enjoy the full rights of coitizenship, freedom, and priviledges of my country (International students attending college on a United Staetes student visa and who possess full rights of citizenship of their country are eligible for membership). I understand that there is required GPA for maintaining membership in Phi Theta Kappa and agree to notify my chapter advisor immediately if at any time I fail to maintain my chapter's maintenance GPA. Therefore, 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 promsie to aid them in all worthy endeavors.

Please note: This Membership Authorization must be signed and dated and all fees and dues paid before the membership application to Phi Theta Kappa can be accepted. In addition, a video describing membership advantages and responsibiltiies is available and must be viewed.

Please stop in S-51 to sign the above document.