& Mail Application

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Kappa Delta Pi (KDP)
International Honor Society in Education
Professional Membership Application
Thank you for your interest in membership. Please complete the following application digitally and send it to
KDP Headquarters. You can expect to hear back from us within 7-10 business days following receipt of your
application. NOTE: All fields must be completed to process your application.
Member Information
Name:
Nickname:
Birthdate:
School/Organization Name:
Title:
Last Degree Earned:
BS/BA
Master’s
Work Address:
City:
State/Province:
Zip Code:
Work phone:
City:
State/Province:
Zip Code:
I prefer to use
Graduation Date:
Country:
Work Email:
Home Address:
Home Phone:
Doctorate
Cell Phone:
Work
Country:
Personal Email:
Home as my primary contact information.
Membership Options
NOTE: If you have previously been a member of Kappa Delta Pi, no additional documentation needs to
be provided. Please contact KDP Headquarters (1-800-284-3167) to renew your membership. There is a
one-time $1.00 application fee for members.
(please
select
one)
Membership Type
Undergraduate
Student
Graduate Student
Doctoral Student
Student seeking
alternative
certification /
licensure
Qualifications
Documentation
Required
 Transcript
 No KDP chapter on campus; and
 Minimum cumulative GPA of 3.00; and
 30 credit hours earned with 12 hours
scheduled/in-progress in Education
 No KDP chapter on campus; and
 Evidence of
completed
 Minimum cumulative GPA of 3.25; and
BS/BA degree,
 BS/BA degree with minimum 3.0 GPA; or
OR
 12 credit hours completed/in-progress
 Transcript
toward a Master’s degree with at least 6
credit hours earned at the same
institution
 In a Doctoral program
 Evidence of work
toward Doctoral
degree
 Hold BS/BA degree; and
 Evidence of
BS/BA degree
 At least 12 semester hours of alternative
 Transcript
certification program completed; and
 Minimum cumulative GPA of 3.25
Cost
$46 - 1 year
$81 - 2 years
$750 - Lifetime
$46 - 1 year
$81 - 2 years
$750 - Lifetime
$46 - 1 year
$81 - 2 years
$750 - Lifetime
$46 - 1 year
$81 - 2 years
$750 - Lifetime
(for more membership options, please see the next page)
(please
select
one)
Membership Type
Qualifications
 Minimum cumulative GPA of 3.25; or
 Hold a Master’s or other advanced
degree; or
 Ability to obtain two letters of
recommendation
Practicing Educator
(please select one)
Cost
$46 - 1 year
$81 - 2 years
$750 - Lifetime
Early Childhood Teacher
Elementary Teacher
Counselor
Middle School Teacher
Library/Media Specialist
Substitute Teacher
High School Teacher
Professor/Faculty Member
 In an administrative position
Administrator
(please select one)
Documentation
Required
 Transcript, OR
 Two letters of
recommendation
from supervisors
 Evidence of
position (e.g.
business card)
K–12 Administrator
Superintendent/Principal
Dean
Higher Education Administrator
$46 - 1 year
$81 - 2 years
$750 - Lifetime
 Proof of age; OR
$25 - 1 year
 Evidence of
$50 - 2 years
retirement
Please select your membership length:
1 year
2 years
Lifetime
Lifetime membership dues can be paid in 3 installments of $250 annually. Please check this box if you
would like to pay in three installments.
Retiree
 55 years of age; or
 Have been retired for one year or longer
Additional Publication Options
Professional Members receive a complimentary one-year subscription to The KDP Record except for
undergraduate student members who receive a one-year subscription to the New Teacher Advocate.
Please select any additional publications that you would like to receive.
New Teacher Advocate (Print & Digital)
$12 for One Year
$20 for Two Years
New Teacher Advocate (Digital only)
$10 for One Year
$16 for Two Years
The Educational Forum
$25 for One Year
$45 for Two Years
Support Kappa Delta Pi
All members are encouraged to give $19.11 annually in celebration of our founding year, 1911. Kappa Delta Pi
is a registered 501(c)(3) organization; your contributions are tax-deductible and support a variety of programs
and services. Be sure to include your donation in the total amount due on the next page.
Yes! I would like to give a donation via this form in the amount of $19.11.
Yes! I would like to give a donation via this form in the amount of $
.
No, not at this time.
Contact Preferences
KDP provides an online Membership Directory through a members-only portal that allows information such as phone, email, and
city/state location (not street address) to be searched and viewed by members. Check the following box if you do NOT want your
information to be included in the Membership Directory.
KDP occasionally makes its members’ contact information available to affiliated third party vendors who provide products and services
to the education community. Check the following box if you do NOT want your information included on these lists.
Payment Information
(in US Dollars)
Total Amount to be Paid: $
Check enclosed (payable to Kappa Delta Pi)
Charge the above amount to my:
American Express
Account Number:
Visa
MasterCard
Discover
Expiration Date:
Cardholder Name:
SIGNATURE: _____________________________________________
NOTE: Your application cannot be accepted without a signature.
Credit Card Auto-Renewal
NEW!
By enrolling in credit card auto-renewal, you agree to allow KDP to automatically charge future annual membership dues to
your credit card up to 30 days prior to the expiration of your membership. Authorization to charge your card will remain in
effect unless you notify KDP otherwise. Charges will reflect dues rate at the time of renewal.
I agree to the terms and conditions of this payment agreement. At any time, I understand that the terms of this payment
agreement may be changed and that I will be bound by the charges until I terminate my enrollment of this automated payment
program. I agree to review the terms and conditions frequently to ensure that I understand and agree with all changes.
I agree. Enroll me in Credit Card Auto-Renewal for membership payments.
Submit Your Application
Send your application to KDP Headquarters via the postal service with payment.
Kappa Delta Pi, International Honor Society in Education
c/o Membership Department
3707 Woodview Trace
Indianapolis, IN 46268
If you have any questions, please contact our Membership Department at 1-800-284-3167 or email [email protected]
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