LAMBDA PI ETA APPLICATION FOR MEMBERSHIP 2016-2017

Lambda Pi Eta is the official communication studies honor society of the National Communication Association.

Date: k R Number: ; ; Name: g First Middle Last Please fill in how you would like your name to appear on your Lambda Pi Eta certificate.

Mailing Address: b

L

Preferred E-mail: i

Preferred Phone: s Type: a Mobile phone, home phone, work phone

Expected Graduation Date: n Application Period Spring 2017 Deadline March 1, 2017 Please check one: Communication major minor

Membership Dues: Membership fee $30.00 Gold Honor Cords (optional - for graduation) $ 9.85 a Amount Paid: Total $39.85

Please select your form of payment as follows: check made payable to: Rollins College cash or money order

Payment must be received at the time of application. You will receive notification of acceptance within two weeks. In the event you do not qualify at this time, you will be notified and receive a full refund.

Membership dues are a one-time fee that covers the cost of your induction ceremony, certificate, and lapel pin. In addition, many elect to order the gold honor cord, which is worn at graduation and symbolizes being part of LPH. There is one formal induction ceremony per academic year in the spring, which will be held March 25. Your membership entitles you to participate in that ceremony and all other Lambda Pi Eta activities throughout the academic year.

Membership Application: By signing this application, I acknowledge the following information will be verified by Rollins College staff members.

Applicant Signature: a Checks may be mailed to: Rollins Lambda Pi Eta Faculty Advisor Administrative Assistant Dr. Josh Hammonds, Assistant Professor and Department Department of Communication Chair 1000 Holt Avenue, Box 2777 Cornell Hall for the Social Sciences Building (CSS) Cornell Hall for the Social Sciences Building (CSS) Winter Park, FL 32789 Winter Park, FL 32678

Office Use Only: Number of semester hours completed (60 Rollins hours minimum) m Number of communication hours completed (12 Rollins hours minimum) m Overall GPA at least 3.0 m Communication GPA at least 3.25 m In good standing with Rollins College and no Honor Code Violations ,