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Pi Sigma Alpha Application Form

PI SIGMA ALPHA

The National Political Science Honor Society

Application

(Turn in to Burleson 300)

Semester Year__________Graduation Date__________

NAME STUDENT ID#

LOCAL ADDRESS_____________________________________

PERMANENT ADDRESS_________________________________

TELEPHONE: LOCAL _____________PERMANENT_________________________

E-MAIL _________________________________________________________________________

ACADEMIC MAJOR_______________________________

COURSES TAKEN IN POLITICAL SCIENCE__________________________________________________________________ _________________________________________________________________________ _________________________________________________________________________

TOTAL HOURS COMPLETED AT BAYLOR_________

GRADE POINT AVERAGE:______ OVERALL MAJOR ________

UNDERGRADUATE ___________________GRADUATE______________________

ORGANIZATIONS, ACTIVITIES, INTERESTS___________________ _____________________________________________________________________________ _____________________________________________________________________________

POLITICAL EXPERIENCE AND ACTIVITIES (memberships, campaigns, etc.) __________________________________________________________________________

_________________________________________________________________________

FUTURE PLANS, GOALS _________________________________________ _____________________________________________________________________________

Interested in Officer Involvement?_________________

SIGNATURE____________________________ DATE_________________________