Fall 2017 Membership Application

Fall 2017 Membership Application

<p> Fall 2017 Membership Application</p><p>Please include a small picture of yourself, an updated resume, and an unofficial transcript (CalCentral screenshot acceptable). Late applications will NOT be accepted. Please submit a hard copy of your completed application, as well as an electronic copy to [email protected] by Friday, September 8th, 2017.</p><p>Section 1: Personal Information</p><p>First Name: Last Name: </p><p>SID: Birth Date: Gender: </p><p>Current Address: </p><p>City: State: Zip Code: </p><p>Email: Phone: Section 2: School & Extracurricular Information</p><p>Major: Expected Graduation Term: </p><p>Current Class Year: Overall GPA: (Note: over 3.0 Required)</p><p>Current Semester/Year: Fall 2017 Units This Semester: </p><p>Extracurricular activities (clubs, work, etc.) and Involvement/Position/Estimated time per week:</p><p>Section 3: Personal Statement (Max: 500 words each) 1. What are your goals and how do you think Phi Chi will help you achieve them? </p><p>2. What other commitments do you have this semester, and how will you balance time spent? </p><p>3. Why do you want to join Phi Chi, and not another pre-medical fraternity? </p><p>I certify that the above information is correct to the best of my knowledge. Name: Date: </p><p>Signature: Date: Also, please fill out your schedule below. </p><p>Monday Tuesday Wednesday Thursday Friday Saturday Sunday 8-9A</p><p>9-10A</p><p>10-11A</p><p>11-12P</p><p>12-1P</p><p>1-2P</p><p>2-3P</p><p>3-4P</p><p>4-5P</p><p>5-6P</p><p>6-7P</p><p>7-8P</p><p>8-9P</p><p>9-10P</p>

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