7/2012
CHAPTER MEMBERSHIP APPLICATION
SIGMA TAU DELTA
International English Honor Society
Chapter
APPLICATION FOR MEMBERSHIP
Complete and return this application, along with an unofficial transcript of your grades, to
PLEASE PRINT
Applicant’s Name: _________________________________________________________
Applicant’s HOME
Address: _________________________________________________________
_________________________________________________________
Applicant’s SCHOOL
Address: _________________________________________________________
_________________________________________________________
Applicant’s Telephone: Email Address:
Year in school (circle one): Sophomore Junior Senior Graduate
Anticipated year of graduation: Current Overall GPA:
English hours completed: Current English GPA:
SPONSOR USE ONLY: (Initial and date) - B average required in each category
Overall GPA verified ________________ English GPA verified
Please note: Society induction is not complete until the Sponsor 1) enrolls applicants in Write
Away!; 2) completes the payment process in Write Away!; and 3) payment is received in the
Central Office. Membership certificates and pins are generally mailed to the Sponsor within one
week of receipt of payment in the Central Office
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PAYMENT RECORD - SPONSOR/TREASURER USE ONLY: Payment received
____________ ________________ _____________________ ________
Amount Check number/Cash Received by Date
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