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Membership Application ΓΗ Ρ A National Honor Society in Human Sexuality

APPLICATION DEADLINE: Thursday, March 1, 2018

INDUCTEES NOTIFIED: Wednesday, April 4th, 2018

INDUCTION CEREMONY: Sunday, May 6, 2018 from 1pm – 3:30pm

Mission The mission of Gamma Eta Rho is to encourage and recognize excellence in intellectual achievement, critical inquiry, and creative thought relating to all aspects of human sexuality. The Society seeks to help students develop meaningful goals for their roles in society; to foster professional relationships and growth; and to advance the fields of human sexuality research, therapy, and education.

National Qualifications for Individual Membership A graduate student or graduate is eligible for membership after achieving the following national requirements and meeting local chapter requirements: • Completed 18 credit hours of coursework in Human Sexuality as determined by the local chapter. • Achieved a minimum grade point average of 3.75 on a 4.0 scale. • Exemplified worthy educational ideals in the field of Human Sexuality. • Expressed an intention of continuing in the field of Human Sexuality. • Given evidence of leadership abilities as reflected in a of reference from an academic source (professor, dean, colleague, supervisor, etc.).

Name:

Current mailing address:

Street or PO Box

City State Zip

Phone number:

Email:

Classification [please check one]: Graduate Student Faculty

Degree(s) Obtained: Degree(s) Sought:

Year Degree Completed Degree Completion Year: Students are eligible for membership after completing 18 hours of coursework in Human Sexuality. Please list: Courses taken, Grade received and Credit hours Course Grade Credit Received Hours 1. 2. 3. 4. 5. 6. 7. 8. 9.

Actual cumulative GPA for all graduate courses:

Actual Human Sexuality GPA for all sexuality courses:

Application Requirements • Applicants must include a copy of their transcript for review. • Please attach current curriculum vitae or resume. • A letter of reference from an academic source (professor, dean, colleague, supervisor, etc.) speaking to your leadership abilities. • A statement describing your intentions and professional aspirations in the field of Human Sexuality.

*ALL REQUIREMENTS MUST BE ATTACHED TO YOUR APPLICATION. INCOMPLETE APPLICATIONS WILL NOT BE ACCEPTED *

I hereby authorize the Gamma Eta Rho faculty advisor to review my college records for the sole purpose of determining my eligibility for becoming a member of Gamma Eta Rho.

Applicant Signature Date

Applications are to be mailed to: Widener University One University Place Center for Human Sexuality (CHSS) 501 East 13th Street Chester, PA 19013 Attn: Jañelle Barnes - Gamma Eta Rho

If you have any questions, please e-mail Dr. Erika Evans at [email protected]. Thank you for your interest in joining Gamma Eta Rho. We hope to offer the Gamma Eta Rho membership to you as soon as you are eligible. Once membership eligibility has been established, you are required to send a check for $25 to Center for Human Sexuality Studies by April 18, 2018. Thank you.