Psi Cho - Weber State University Psychology Club
Membership Application

Name ______________________________________________________
   
Address ______________________________________________________
   
City, State, Zip Code ______________________________________________________
   
Home Phone ______________________________________________________
   
Mobile Phone ______________________________________________________
   
Email ______________________________________________________
   
Major ______________________________________________________
   
Minor ______________________________________________________
   
Anticipated Graduation Date ______________________________________________________

 

Please complete this application and return it with your one-time $15 chapter fee (cash or check made payable to "Psi Chi") to Dr. Shaw or Dr. Garza, Psychology Club faculty advisors.  Chapter fees help fund Psychology Club's various social and academic activities.  If you become a member of Psi Chi after gaining membership in Psi Cho, you will only have to pay the $35 National fees.  For more information about club activities, contact a club officer in our chapter office (SS 307).
 

Thank you for joining Psychology Club

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