Instructions: Please complete all the information requested on this application. Please submit the second page of the application on separate typed pages (1-2 pages maximum). If you need assistance completing this application, please contact the Faculty Advisor, Dr. Eunhee Choi, at . Return completed application with check made out to: Audrey Shillington Phi Alpha (see second page for details), and please retain a copy of your application. Applications must be received by April 26th, 2016. Applications can be turned in to the Social Work Main Office. (To avoid potential theft of personal checks, please don't leave applications in Dr. Choi’s mailbox). Colorado Springs students can give applications to a course instructor, who can then deliver the application to the Social Work Main Office.
Undergraduate students are eligible for membership after achieving the following national requirements: a) declared social work major; b) at least sophomore status; c) completed 9 credits of required social work courses; d) overall GPA of 3.0; and e) GPA of 3.25 in required social work courses.
Graduate students are eligible for membership after achieving the following national requirements: a) completed one term of course work with 9 credits of required social work courses; and b) GPA of 3.5 or higher. Any MSW student is a lifetime member if inducted as a BSW student.
Name: ______
(Please print your name as you want it to appear on your membership certificate)
Address: ______
City: ______Zip: ______
Phone you can best be reached at: ______
Email: ______
Program (please mark your program and circle your academic standing):
BSW______MSW______
Soph. Jr. Sr. 1st year 2nd year P/T
Anticipated graduation date: ______Number of completed social work credit hours: ______
Overall GPA: ______Social Work GPA: ______
APPLICATION CONTINUES ON PAGE TWO
Phi Alpha Honor Society
Theta Pi Chapter
Application Questions
1. What is your main area of interest in social work?
2. What interests you about being a member of Theta Pi?
3. Are there any specific activities (service or social) that you would like to participate in as a Theta Pi member?
4. Please describe something unique/interesting about yourself that you would like others to know.
Fees: Submit check with application; your check will not be deposited until your application has been accepted.
· Membership fee & label pin: $25.00 (Required; all applicants must be paid with application)
· Phi Alpha Blue & Gold Honor Graduation cord: $12.00 (Optional; must be paid with application)
Please return your application and check to the Social Work Office (Education 127). Please make check payable to: Audrey Shillington Phi Alpha
AFFIRMATIVE ACTION STATEMENT: The Phi Alpha Honor for Colorado State University subscribes to the provision that membership shall be available to all eligible persons without regard to age, gender, color, race, religion, national origin, sexual orientation, or disability.