Name: ___________________________________________
Address (street/box/city/state/zip)
Phone:___________________________________________
Email:____________________________________________
Yes No
( ) ( ) I have completed the core SW courses.
( ) ( ) I have achieved at least a 3.3 GPA in my
SW classes.
( ) ( ) I have an overall GPA of at least 3.3.
( ) ( ) I am in or have completed Practice I.
( ) ( ) I agree to 3 hours per semester of community service, done individually or in group.

An initial membership fee of $10 and an unofficial transcript (for grade verification) is required. Phi Alpha members will be responsible for submitting a current transcript and $5 membership fee each semester to maintain membership. *Any eligible individual will NOT be turned away because of
inability to pay membership fees!* If you have any questions, please feel free to contact the faculty advisor, Robin. R. Wingo (389-5804 or robin.wingo@mnsu.edu
)
I agree to participate in Phi Alpha meetings and other activities.
Signature__________________________________
Checks should be made payable to Phi Alpha and sent to Professor Wingo or the
Social Work Department office at 358 Trafton North. Membership opportunities will be announced. A meeting of the members will be announced.