Membership Application
Alpha Kappa Delta
The International Sociology Honor Society

Please Print or Type

Name _______________________________________________________________________________
		First				Middle				Last

Address _____________________________________________________________________________

	   ____________________________________________________________________________
		City						State		Zip Code

Student Identification Number __________________________________________________________

Home Telephone _________________________  Work Telephone _____________________________

E-Mail Address _______________________________________________________________________

Major __________________________ Minor __________________________ Rank:      Jr     Sr    Grad

List sociology core courses and other sociology courses you have completed.

Course		Course					Course		Course
Number	Name		Instructor		Number	Name		Instructor
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I hereby give the faculty member serving as the AKD Chapter Representative permission to determine my eligibility for membership by verifying my grade point average and my percentile rank in overall scholarship.

Signature ___________________________________________________  Date ___________________

Return this completed application to the AKD Chapter Representative.

Office Use Only:	Payment Received ______	Cumulative GPA ______	Class Rank ______		Initials _______
		
This application is to be filed by the chapter.  Do not send it to the AKD Office.