Permanent Membership Application

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Pasadena City College
Alpha Gamma Sigma ΑΓΣ Honor Society
Application for Permanent Membership
This form is due Tuesday, March 17th, 2015 by 4:00 PM to our Recording Secretary, Brian Park,
OR to our AGS Mailbox located in the OSA office of the CC building.
Applicant Information – Please PRINT clearly or TYPE:
Last Name:
PCC Card
last 8 digits
email
First Name:
MI:
DOB (mm/dd)
Phone number#:
Address:
NOTE:
•
•
Submit this form together with unofficial transcript(s) showing units & GPA qualification.
You must already have a regular AGS application for Continuing Membership on file for this
semester in order to submit this form.
Eligibility:
•
•
•
•
Completion of 60 semester units during the current semester in degree-appropriate college
courses, of which at least 54 units are for a grade (not as CR/No Credit)
At least half (30) of these semester units completed at the Community College level
Current registration as a Continuing Member
Additionally, you must meet one of the following criteria:
1. If you are in your 2nd semester of AGS membership, you complete the semester with a
cum. 3.50 GPA or higher in all units used in meeting the minimum 60 unit requirement.
2. If you are in your 3rd semester of AGS membership or more, you complete the semester
with a cumulative GPA of at least 3.25 in all units used toward the 60 unit requirement.
Any courses completed two or more years prior to submission of this application for
Permanent Membership, whether at a community college or other institution, shall not be
used to disqualify any person from becoming a Permanent Member, provided that these
units also not be used to meet the minimum requirement of 60 semester units.
Benefits:
• Receive special recognition at Commencement by wearing the distinguished gold stole.
• Have a Permanent Member notation added to your permanent transcript.
• Future membership fees waived as a lifetime member.
“Add to good character, knowledge and judgment.” ΑΓΣ
Pasadena City College
Alpha Gamma Sigma ΑΓΣ Honor Society
Application for Permanent Membership
Last Name
PCCID#
This form is due Tuesday, March 17th, 2015 by 4:00 PM to our Recording Secretary, Brian Park,
OR to our AGS Mailbox located in the OSA office of the CC building.
Please answer the following questions:
Number of semesters of AGS membership prior to current semester:
Term and semester(s) of prior membership (ex: Spring 2012-Spring 2015):
Cumulative GPA to date:
Number of units completed to date:
Number of units in progress:
TOTAL UNITS completed by end of semester*:
(* 60 minimum)
TOTAL UNITS for a grade (not for CR/NC)*:
(* 54 minimum)
Graduating with
AA
AS
n/a Final semester/graduating:
NOTE:
When you submit this Permanent Member application, you must already have a regular
AGS application for Continuing Membership on file for this semester.
Work In Progress
Please have your instructors provide your current work in progress, regardless of GPA:
Current Semester:
Name of Class
Units
Grade to
Date
Instructor’s Printed
Name
“Add to good character, knowledge and judgment.” ΑΓΣ
Instructor’s
Signature
Final Permanent Application Checklist
o Is currently a Continuing Member
o At the end of the semester, will:

Complete at least 60 units

Maintain at least 3.50 GPA or if this is your third semester in AGS at least a 3.25 GPA.

Complete all service hours and meeting requirements in order to remain in good
standing.
o Completed and filled out Permanent Application Form
o Please attach your most recent unofficial PCC transcript to this application
o Application form, transcripts, checklist, and any other papers necessary must be enclosed in
a manila envelope and date-stamped on the seal.
o Lastly, please submit your finished, enclosed application at our Tuesday Planning Meetings
(C420), Thursday General Meetings (Forum), or in the AGS mailbox (CC105).
o IMPORTANT: If you will be submitting your application to the Recording Secretary,
Brian Park, the last day to do so is Tuesday, March 17th, 2015 at the general meeting. All
other applications must be submitted NO LATER THAN 4:00 PM on Tuesday, March
17th, 2015 to the AGS Mailbox located in the OSA office of the CC building.
“Add to good character, knowledge and judgment.” ΑΓΣ
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