AED National Membership Application 2015 Please review the following requirements for national membership before completing the application. This page must be signed and stapled on top of your application. Applicants who do not meet these requirements will not be considered for membership. General Requirements: The student must be taking courses leading to a career in the health professions. Character, general ability, and personality must be considered carefully in the selection of every member. Members shall be elected without any discrimination on the basis of race, sex, religion, creed or national origin. The student shall be an associate member of AED when applying for active national membership. Specific Requirements: Must be a sophomore or above. Must have been a pre-health student for at least 3 semesters and must have been attending Auburn University for at least one semester. Must have at least a 3.2 cumulative, ungapped GPA and a 3.2 cumulative, ungapped BCPM GPA (Biology, Chemistry, Physics, Math). Must have a record of attending at least 7 AED Meetings. Must have acquired at least 4 AED Service Points. Requirements for Retaining National Membership after Induction: Must have a record of attending at least 4 AED Meetings per academic year. Must acquire at least 3 AED Service Points per academic year. I have read, understood, and fulfilled all requirements for national membership. I also understand the requirements for retaining national membership after induction, and I intend to fulfill those requirements. ________________________________________ Print name ________________________________________ ____________ Signature Date 1 AED National Membership Application 2015 Due: Tuesday, February 10, 2015, by 4:00 p.m. in COSAM Advising Office, SCC 239 ** You may also bring it to the AED Meeting on February 10th. Notification: Friday, February 15, 2014 by 5:00 pm via email Spring Initiation: Tuesday, April 7, 2015, at 6:00 p.m. in SCA Instructions: Print and fill out all 5 pages of this application, including the requirements signature page (page 1) stapled on top. Bring completed application to the COSAM Advising Office (SCC Room 239) and place it in Mrs. Childress’s mailbox. Applications are DUE by 4:00 pm on Tuesday, February 10, 2015. Please type or write legibly, and attach a 2x2” photograph in the designated area. Please do not worry about having a professional photograph. All applicants will be notified of whether or not they are granted membership on Friday, February 15, 2014 by 5:00 pm via email. Send any questions to Lindsey Schapker, AED President, at lms0025@auburn.edu. If you need more space for your answers, please feel free to attach any additional paper to the application. Thank you for applying, and good luck! I. Basic Information Name: _____________________________ AU Email Address: _____________________________ Banner ID: __________________________ Phone Number: _____________________ Local Address: ________________________________ ________________________________ ________________________________ Major: _____________________________ Concentration: ______________________ Classification (Circle one): SO JR SR Semester and Year entered Auburn University: ________________ Have you paid the associate member dues for 2014-2015? (Circle one): YES NO Photo: II. Requirements Overall GPA: ___________ * BCPM GPA: ___________ * *Please use and turn in the calculation worksheets on pages 4 and 5. Number of Meetings Attended: Fall 2015: _____ Spring 2014: _____ Fall 2014: _____ Spring 2013: _____ Fall 2013: _____ Prior to Fall 2012 (Please list by semester) AED Service Points: 2 List the event name, semester, and point value of all AED volunteer events in which you have participated. III. Short Essay How have you have benefited from AED? What do you hope to gain from national membership? How do you plan to give back to and impact AED as a national member? Please state anything else you feel the selection committee needs to know about your application. 3 IV. GPA Calculation Chart for Science and Math Courses (BCPM) Include information for ALL courses with a BIOL/CHEM/BCHE/PHYS/STAT/MATH course title for which you earned quality hours AND points, including repeated courses, gapped courses, and courses taken at Auburn University or other colleges. If you are completing PPAC, you may submit the PPAC GPA Worksheet. Example: CHEM 1030 B Course Title 3 Letter Grade Quality Hours 9 Quality Points Total BCPM GPA: ______ (Divide quality points by quality hours. Round to two decimal places.) 4 V. GPA Calculation Chart for Other Courses Include information for ALL courses for which you earned quality hours AND points that do NOT have a BIOL/CHEM/BCHE/PHYS/STAT/MATH course title, including repeated courses, gapped courses, and courses taken at Auburn University or other colleges. If you are completing PPAC, you may submit the PPAC GPA Worksheet. Example: ENGL 1100 A Course Title 3 Letter Grade Quality Hours 12 Quality Points Total Other GPA: ______ (Divide quality points by quality hours. Round to two decimal places.) Overall GPA: _____ (Add quality points from both charts and divide by quality hours from both charts. Round to two decimal places.) 5