Pi Sigma Alpha

               The National Political Science Honors Society

APPLICATION FOR MEMBERSHIP

Chi Lambda

Southern Utah University Chapter of the National Political Science Honors Society

Name: 

Email:  

Phone: 

 Please check the one that applies: 

a Freshman     a Sophomore    a Junior     a Senior

            I am a Political Science  

Major     Minor     Neither

 By submitting this form, I give my permission for my transcripts to be reviewed by the Faculty advisor/Secretary and or the President of Chi Lambda or any of the current officers for the purpose of confirming my eligibility.

T-Number of Applicant:   

Date Submitted: