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About Us
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Constitution & By-Laws
Councilor Forum
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Home
About Us
Who We Are
Midnight Oil Newsletter
Chapters
Chapter Directory
Pay Annual Dues
Constitution & By-Laws
Councilor Forum
William C. Hine Award
Chapter FAQs
Students
Our Students
Chapter Directory
Scholarships
Previous Recipients
Student FAQs
New Chapters
Chapter Membership Application
Start A Chapter
Blog
Contact Us
Application for Chapter Membership
Chapter Membership Application
Application Type
New Chapter
Reinstate Chapter
Master's – New Chapter (Honorary only)
Master's – Add on to Undergraduate Chapter (Honorary only)
Name of Institution
Type of Institution
Branch
Main Campus
State Supported
Private
Chapter Type
Undergraduate Formal Chapter
Undergraduate Honorary Chapter
Master's Level Honorary Chapter
Building/Location
Street Address
City
State
Zip Code
Title of Chapter Councilor
Ms
Miss
Mrs
Mr
Dr
Name of Chapter Councilor
Department
Position Held at Institution
Street Address
City
State
Zip Code
Phone
Email
Website
Direct Report
Name
Position
Email
Phone
Co-Councilor Name
Department
Phone
Email
Co-Councilor Direct Report
Name
Position
Email
Phone
Institution Accredited By
What is your institution's definition of an adult non-traditional student?
Does your institution provide services and courses specifically designed to meet the needs of adult learners?
Yes
No
Are you the majority of the courses offered by your program for college credit?
Yes
No
Please check degrees granted for adults in higher education
Associates Degree
Bachelor's Degree
Master's Degree
Other
Enrollment Total
Enrollment Traditional
Enrollment Adults
How many separate campus locations will this chapter serve including the one listed on page one of this application form?
How did you hear about Alpha Sigma Lamdba?
Please provide the link to your institution's online course catalog
Please provide the following information pertaining to specific membership criteria set by the chapter that will be included in the chapter constitution
Undergraduate – Selected for membership top 10%
Undergraduate – Selected for membership top 20%
Master's – Selected for membership top 35%
What is the minimum GPA required for membership?
3.5
3.8
Other
Other Response
Date Fiscal Year Begins
Electronic Signature
Acceptance
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