Iota Iota Iota Women’s and Gender Studies Honor Society Application for Membership Name: __________________________________________________________ (as you’d like it to appear on your membership certificate) Local Address: ___________________________________________________ Phone: __________________________ Email: __________________________ Student number: ____________________ Class status: __________________________ Number of semesters completed: __________ GPA: _______ WGS GPA: _______ (no transcript or degree audit necessary) Are you a Women’s and Gender Studies minor? ____________ Women’s Studies courses taken at UNCW : _______________________________________ __________________________________________________________________________ WSRC volunteer initiatives, internships or participation in campus and community activities: __________________________________________________________________________ __________________________________________________________________________ Students must have completed six credit hours in Women's Studies and have a grade point average of 3.0 or higher in order to qualify for induction. By signing below you acknowledge that the information included on this application is correct. Signature: ___________________________________________ Date: ___________ Submit this application along with a signature of referral from a Women’s and Gender Studies affiliated faculty member (below) to Dr. Katie Peel, 2053-2054 Randall Library, 910 962-7507. Referral: ____________________________________________ Date: ___________