<p> MU DELTA CHAPTER OF THE PHI ALPHA NATIONAL SOCIAL WORK HONOR SOCIETY SOCIAL WORK DEPARTMENT UNIVERSITY OF SOUTHERN INDIANA EVANSVILLE, INDIANA 47712</p><p>As stated in the preamble, the purpose is "to provide a closer bond among students of social work and promote humanitarian goals and ideals."</p><p>CRITERIA</p><p>1. Must be a student enrolled in the MSW program. 2. Must have earned a minimum overall GPA of 3.875. 3. Must have completed at least 12 hours of social work classes. 4. Fee of $50.00 (must be check or money order made out to Phi Alpha and is non- refundable.) *Attendance at the initiation ceremony (March 23rd, 2017 4:00) is required for membership.</p><p>APPLICATION FORM (Please TYPE)</p><p>NAME: ______</p><p>PREFERED MAILING ADDRESS: ______</p><p>______</p><p>PHONE #: ______</p><p>EMAIL ADDRESS: ______</p><p>______</p><p>USI Completed Hours: ______</p><p>USI CUMULATIVE GPA: ______</p><p>PRINT YOUR NAME AS YOU WANT IT TO APPEAR ON YOUR CERTIFICATE </p><p>First Name MI Last Name </p><p>PLEASE RESPOND TO THE FOLLOWING QUESTIONS IN THE SPACE PROVIDED. IF NEEDED, ANSWER THE QUESTIONS ON A SEPARATE SHEET AND ATTACH IT TO YOUR APPLICATION. (ALL FORMS MUST BE TYPED)</p><p>1. Discuss any formal or informal leadership activities you are engaged in as a social work student within the university or your community.</p><p>2. How do you connect with other social work students within the university or community to promote humanitarian goals in service to others? </p><p>3. How do you hope to contribute to the Social Work profession to foster the purpose of Phi Alpha Honor Society which is "Through knowledge--the challenge to serve"?</p><p>This completed Application and Fee of $50.00 must be turned in to Jara Dillingham or John Paulson in the Social Work Department by February 10, 2017.</p><p>SIGNATURE DATE: </p>