ALPHA PHI SIGMA
The National Criminal Justice Honor Society305940
Founded 1942
Membership Application
PLEASE TYPE OR PRINT CLEARLY THE FOLLOWING INFORMATION
Name
Permanent Address
City
Zip CodeState
CHECK THE DEGREE YOU ARE PRESENTLY ATTAINING
SSN (optional)
Date of Birth (optional) Sex
Email
Bachelor of Arts Bachelor of Science Master of Arts Master of Science
Education DoctorteJuris Doctorate Doctor of Philosophy
THE INFORMATION BELOW IS VERY IMPORTANT AND SHOULD BE BASED ON COURSE WORK AT ALL POST-SECONDARY INSTITUTIONS ATTENDED
INDICATE TYPE OF CREDIT HOURS Quarter Semester Tri-Semester
Grade Point Average (GPA)
Based on a 4.0 Scale
Cumulative GPA
Criminal Justice GPA
Number of Courses Completed:
Cumulative Courses
Criminal Justice Courses
Signature of Applicant:
PLEASE TYPE OR PRINT THE FOLLOWING INFORMATION AS YOU WOULD LIKE TO APPEAR ON YOUR ALPHA PHI SIGMA
Name
University Presently Attending
Local Chapter Name ( Greek)
FOR CHAPTER ADVISOR ONLY
Chapter Advisor Name & Title
Chapter Address
City Zip Code
Phone Number Fax Number
E-mail
Advisor's Signature:
ADVISOR'S NOTE
Each application must be accompanied by a $40.00 Cashier's Check, Money Order, University Check or Alpha Phi Sigma Chapter Check.
Payable to: ALPHA PHI SIGMA NATIONAL HEADQUARTERS . DO NOT SEND CASH OR PERSONAL CHECKS
ADVISOR MAIL APPLICATION TO:
Alpha Phi Sigma National Headquarters, Nova Southeastern Universtiy, 3301 College Ave, Ft. Lauderdale, FL. 33314
TEL: 954-262-7004 FAX:954-262-3646 ~ WEBSITE: www.alphaphisigma.org
Date
Date
Anticipated Date of Graduation
State
Phone Number
Permission to use email address for ΑΦΣ correspondence
Print Form on White Paper
