University Honors Center Office Use Only Honor Society Membership Petition *Petitions to be considered for invitation to University Honors Center supported honors societies may only be submitted for the semester in which the student believes they are eligible. *In any semester, petitions may be submitted no earlier than the 12th class day. *Petitions for Alpha Lambda Delta, Phi Eta Sigma or Phi Kappa Phi must be submitted no later than the last day to apply for an undergraduate degree; students will receive notification of their status no later than five (5) working days after the last day to apply for an undergraduate degree. *Petitions for Phi Beta Kappa must be submitted no later than ten (10) working days before the last day of class; students will receive notification of their status no later than five (5) working days before the last day of class. *Petitions submitted before the acceptance date or after the deadline will not be considered. *Refer to the UT Academic Calendar for all relevant dates (registrar.utexas.edu/calendars). EID: __________________________________ Society Petitioned: _________________________________ First Name: _____________________________ Last Name: _______________________________________ Email Address: __________________________________________________________________________________ First Semester at UT: _________________ Expected Graduation Date (Month/Year): _______________ Have you applied to graduate this semester? (circle one) YES NO Will you apply to graduate this semester? (circle one) YES NO Is your UT contact information up to date & correct? (circle one) YES NO (More information: utdirect.utexas.edu/apps/utd/all_my_addresses) Have you restricted your UT directory information? (circle one) YES NO (More information: registrar.utexas.edu/students/records/restrictmyinfo) UT Direct Grade Report Information (utdirect.utexas.edu/apps/student/gradereport)) College(s) Major(s) _______________________________________ _______________________________________ _______________________________________ _______________________________________ Hours Undertaken Hours Passed GPA Hours Grade Points GPA Current Semester _______ _______ _______ _______ _______ Current Cumulative _______ _______ _______ _______ _______ Transfer Hours: ______ UT Hours Undertaken: ______ Total Hours Undertaken: ______ Additional Materials (include with petition form) 1) On a separate typed document, please explain why you believe you are eligible for invitation during this election/induction cycle. Make sure this page is labeled with your name and EID. 2) Attach a copy of your academic summary from the Office of the Registrar (official transcript not required; see registrar.utexas.edu/students/records/summary for more information). I certify I have completed all instructions and the information presented here is complete and accurate. I accept that falsifying information on this form is grounds to be excluded from consideration to join the society petitioned. I authorize an administrator of the University Honors Center to access my student records from UT's Office of the Registrar to verify this information and present it to society officers. _________________________________________________ ____________________________ Signature Date Return all materials to the University Honors Center CRD 23 (accessible via the north entrance of the Carothers Residence Hall) .