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PHI THETA KAPPA INTERNATIONAL HONOR SOCIETY

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									           PHI THETA KAPPA INTERNATIONAL HONOR SOCIETY
                     OMEGA SIGMA APPLICATION
                                   Membership Application



I, ____________________________, wish to be considered for membership in the
Omega Sigma Chapter of Phi Theta Kappa. I have met all the requirements. Currently, I
am enrolled in at least three (3) semester hours and have completed at least twelve (12)
semester hours of college level classes (developmental courses do not apply), maintaining
a cumulative grade point average of 3.5, and will try to attend an orientation meeting.
Orientations will take place prior to the induction ceremony at the given location and
time mentioned in the invitation for membership.

Attached to this form are my completed Recommendation Form signed by two (2) faculty
members, a copy of my grades which may be obtained at any registrar’s office or a copy
of my grade report(s) which can be printed from the HCCS website, and my membership
due payment of $75.00 made payable to HCCS – Phi Theta Kappa. If you have any
questions, please contact Dr. Gisela Ables, head advisor, at 713-718-5779 or e-mail at
gisela.ables@hccs.edu.


The one time $75.00 membership due payment will keep a member in good standing infinitely,
provided that all other requirements are met.




_______________________________                  __________________________________________
Date                                             Print Your Full Name

                                                 __________________________________________
                                                 Signature

                                                 __________________________________________
          FOR PHI THETA KAPPA                    Street Address
               USE ONLY
                                                 __________________________________________
Check #                    __________            City and State                   Zip Code

Cash receipt #             __________            (______)__________________________________
                                                 Home Area Code and Phone Number
GPA                        __________
                                                 __________________________________________
International Form         __________            E-mail Address

Accepted / Denied          __________            __________________________________________
                                                 Campus Most Often Attended
Complete                   __________
                                                 __________________________________________
                                                 Intended Major

								
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