Associate Member Application

Please complete this form if you are interested in becoming an Associate Member of Alpha Psi Lambda. The information will be utilized as part of the membership selection process and will not be shared outside of the organization.

Alpha Psi Lambda National, Inc. does not discriminate on the basis of race, national origin, citizenship, religion, creed, native language, gender, gender identity, gender expression, sexual orientation, age, military status, marital status, parental status, political affiliation or disability.

Applicants that require a Disability related accommodation(s) in order to complete the applications may contact the National Office at nationaloffice@alphapsilambda.net. Disability related accommodations may include Large print paper applications, audio applications, a scribe, etc).

University Attending *
First and Last Name *
Email *
Phone *
Preferred Pronouns
Date of Birth *
Emergency Contact Name *
Emergency Contact Relationship *
Emergency Contact Phone Number *
Academic Information
Student Status *



Year In School *







Are you a first term student? *
*First-term eligibility varies by university. First-term students are individuals who have not completed at least one term of college/university.


Are you a transfer student? *


If you are a transfer student, what University did you transfer from?
Are you an international student? *


Hours currently enrolled: *
If you are completing this during summer or winter break, enter in the total number of hours you plan to be enrolled in the upcoming term.
Current cummlative GPA *
Applicants must have a minimum 2.60 cumulative GPA to be eligible. First term students (if permitted) must have a minimum 3.00 unweighted cumulative high school GPA. Rounding of GPA is not permitted. An unofficial transcript that includes all terms completed at the current university (or previous if a transfer student) and the current term for proof of enrollment must be submitted. If you are a first-term student, a High School transcript is required along with proof of enrollment at your current universi
Anticipated graduation date *
Majors: *
Minors:
Career Objective *
Employment
Are you currently employed? *


If you are employed, please provide the name of your employer and position
Example: Target, sales associate
Have you held any management/leadership positions during current or past employment? *


If you have current or past management/leadership employment experience, please describe it below
Organization Affiliations/Awards
List any professional/social/service/Masonic organizations you are or have been involved in:
Have you held leadership roles in any of these organizations?


If you have leadership experience in other organizations, please describe it below
List any honors or awards received
Additonal Information

Please provide complete and detailed answers to the questions below.

Why are you interested in becoming a member of Alpha Psi Lambda? *
How do you believe you can contribute to the Fraternity? *
List any hobbies, interests or recreational activities you participate in:
Unisex T-shirt size






Certification

I hereby affirm that all information supplied on this application for membership to Alpha Psi Lambda National, Inc. is complete and accurate.

I understand that withholding information requested, giving false information, or not meeting all membership requirements may result in my termination from the Alpha Psi Lambda National, Inc. Membership Intake Process. If it is determined that information was falsified, or requirements were not met after becoming a member, this may result in the removal of my mem

By typing your name here you are electronically ‘signing’ this document *
Please attached your most recent full unoffiical transcript in PDF format that includes your cummlative GPA and current enrollment. *
Note, if needed a new transcript may need to be submitted based on when the expansion process starts.
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