Page 1 of 3 Application for Delta Epsilon Sigma Honor Society General Instruction The Honors Committee accepts applications twice a year for elections to the following honor societies: Alpha Chi (AX), Delta Epsilon Sigma (DES), and Kappa Gamma Pi (KGP). Only undergraduate students are eligible to apply. If you are applying to more than one Honor Society, you will need to submit one application packet per Honor Society. For example, if you apply to both DES and KGP, you will need to submit two different application packets - one packet to be delivered to DES faculty moderator and the other packet to be delivered to KGP faculty moderator. Application forms and Leadership and Service Activities Verification Forms may be obtained from the following sources: ✓ Office of the Chair of the Honors Committee (see below) ✓ Office of the Moderator (see below) ✓ Student Web Delta Epsilon application packet must include the following items: ___ Application Form (when applying to more than one society, complete one form per Honor Society) ___ Letter of recommendation ___ Leadership and Service Activities Verification Form ___ Narrative description of service activities (optional) ___ Membership dues (to be refunded if not elected to join; please write check payable to Barry University, Inc.) ___ Unofficial Transcript Deadline The application packet must be delivered to the office of the moderator of the honor society to which you are applying by 5:00 P.M. on November 1 for December graduation and March 1 for May graduation. See below for mailing and contact information. Format of submission One hard copy and one electronic copy (in PDF format) must be received by the above deadline. If mailing your application, send the packet to: Moderator Name; Barry University; 11300 NE 2 Avenue; Miami, Florida 33161. General questions regarding the honor societies may be directed to: Dr. Javier Gonzalez, Chair, Honors Committee, POW 228, 305-899-3758 [email protected] Specific questions about Delta Epsilon Sigma (DES) may be directed to DES faculty moderator: Dr. Marie-Michele Beauchesne, Delta Epsilon Sigma, Andreas 239; 305-899-3545; [email protected] SIGNATURES ON ALL FORMS AND LETTERS OF RECOMMENDATION MUST BE ORIGINAL. Form updated on September 30, 2020 Page 2 of 3 Delta Epsilon Sigma Honors Society Application Form (PRINT or TYPE all information) Information about the applicant Date of Application __________________________________________________________________ First and Last Name _________________________________________________________________ Mailing Address ______________________________city, state, zip ___________________________ Student ID# _________________Telephone # ____________________________________________ Email ____________________________________________________________________________ Please provide your academic information: Current cumulative GPA earned at Barry University while an undergraduate student _____________ Total number of credit hours I have completed at the time of this application ___________________ Number of credit hours required to graduate in my current major ____________________________ Academic school or college ____________________ Date of Graduation (month, year) ___________ Major/Degree _____________________________Academic advisor’s name ____________________ Circle: I am a transfer student YES NO If answered yes, indicate the following: 1) number of credits transferred to Barry ___________ and 2) number of credits completed at Barry __________. Please check one: I am eligible for consideration in the honor society checked below: _______Delta Epsilon Sigma I have a minimum 3.5 cumulative GPA and have completed a minimum of 60 credits required for my degree at the time of this application. My Leadership and Service Activities Verification Form attests to my commitment to service. Please initial each of the following statements: _______ I understand that, for each Honor Society to which I wish to apply, I must submit an application which is specific to the society to which I am applying and that my completed application materials must be submitted to the appropriate honor society moderator by the deadline noted above. I understand that each submission must include 1) a separate Application Form, 2) a Leadership and Service Activities Verification Form (not required for Alpha Chi), 3) a letter of recommendation specific to the society, and 4) narrative (optional). _______ I have provided the Committee with a letter of recommendation (attached to this form) that describes me from a scholarly and leadership/service perspective. The letter is from a member of the faculty/professional staff or a professional representing a community organization with which I have been involved. My letter of recommendation is from My recommender’s email address is ______________________________________________ Form updated on September 30, 2020 Page 3 of 3 DELTA EPSILON SIGMA HONOR SOCIETY LEADERSHIP AND SERVICE ACTIVITIES VERIFICATION FORM Activities must be signed by the moderator/president of the organization Information about the applicant: First and Last Name _______________________________________________________________ (If elected, the above printed name will appear on a membership certificate) Mailing Address ____________________________________________________________________ Student ID# ________________________________________________________________________ Telephone # & Email _________________________________________________________________ Applicant’s Signature ________________________________________________________________ The person whose name appears above is applying for election to Delta Epsilon Sigma Honor Society at Barry University. The Honors Committee wishes to verify the following information given by this student. Thank you for your interest in supporting this student’s application. Please do not provide your signature unless this student has been active in your organization and all information regarding the applicant’s participation in your organization is complete and accurate. Estimated # of hours Include date Office held Name of Moderator or Verification signature contributed to Organization Length of for each (indicate position President and Email by moderator or this name service one-time held and length of Address president organization event time in office) during past 12 months Examples of acceptable service activities include: 1) membership and participation in projects sponsored by student organizations related to student governing, international students, Greek life, professional students, the Buccaneer and WBRY; 2) individual service opportunities accessed through organizations such as Campus Ministry, Volunteer Center, Learning Center, and student orientation; 3) remunerated positions such as resident/peer/health advisor and Ambassadors’ Club; 4) student-athlete; 5) participation in off-campus service organizations such as church or community groups; and 6) one-time service opportunities such as Walk-a-thons, Habitat for Humanity, Camillus House, Haunted House and Trick-or-Treat. For each individual event (e.g. charity walk-a-thon, Habitat for Humanity, etc.), note the date of the event in which you participated. Include significant special events even if you participated as a member of a group for which you are also claiming credit. You may supply additional relevant information on the reverse of this sheet. Please note that incomplete forms will negatively affect the Honors Committee’s ability to evaluate your eligibility for DES. A one-page narrative description of your service activities to further support your application is optional. Form updated on September 30, 2020 .