Document 15348697

Phi Alpha Honor Society
The Purpose of Phi Alpha Honor Society is to provide a closer bond among students of social
work and promote humanitarian goals and ideals. Phi Alpha fosters high standards of
education for social workers and invites into membership those who have attained excellence
in scholarship and achievement in social work.
Name: _______________________________________________________________________
(print it as you would want it to read on your certificate)
Student ID: __________________________________________________________________
Address: ____________________________________________________________________
(this is the address where you would like your certificate to be sent)
GPA overall_____________________________________ (3.0 required)
GPA in major____________________________________ (3.25 required)
Are you a:
Accepted into the program? ________________________
Lifetime membership fee: $20 – must accompany application (The money will be returned to
you if you do not qualify for membership)
Please return this form to:
Dr. Aesha John
Assistant Professor, Social Work
Department of History, Philosophy, & Social Science
Pittsburg State University
1701 S. Broadway
Pittsburg, KS 66762