Microsoft Word - BAP Application Fall 2012

?ALPHA PI CHAPTER BETA ALPHA PSI - ???APPLICATION FOR MEMBERSHIPThe cost to become a Beta Alpha Psi candidate is $125 and must be paid along with this application. Limited application fee scholarships are available for students with financial need. Contact Professor Berg for information about application fee scholarships.Attach a copy of your college grades to date, unless you are M.Ac. student. This can be printed from MyUI under Student Records > Completed Grades. The grade report from MyUI will only be used to verify your GPA. This information will remain confidential and be destroyed once your application is processed.Please print.Name:UI Student ID#:Hawk ID:Permanent address: (not college address)UI email address (uiowa.edu):Permanent email address (ex: gmail):Phone (include area code):Anticipated graduation date:Degree program (Ugrad or MAc)Birth Date (required):T-Shirt Size (ex: S, M, L, XL):I authorize the University of Iowa and the Alpha Pi Chapter of Beta Alpha Psi to release any information relative to courses taken and grades earned which is necessary in determining my eligibility for Beta Alpha Psi candidacy. I also authorize the Alpha Pi chapter to publicly disclose my level of participation in Beta Alpha Psi activities.I am committed to fulfilling the participation requirements of the Alpha Pi Chapter. I understand that the participation requirements apply to me while I am a candidate and also as an initiated member until I graduate from the undergraduate program. Upon graduation, I can elect to continue participating as graduate student.I understand that failure to meet the Alpha Pi participation requirements, as outlined in the bylaws will result in losing my candidacy or membership status in Beta Alpha Psi.SIGNATURE: DATE: To apply for candidacy, submit the following materials, in a sealed envelope, at one of our weekly chapter meetings and no later than Tuesday, September 10th, 2019.this application form (if you are applying for an exception to the requirements above please include an attachment explaining your situation)a copy of your college grades to datea check or money order for $125 payable to Beta Alpha PsiApplication Forms without a grade report and check (or money order) will not be accepted. For control purposes, cash is not accepted. ................
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