File - Phi Sigma Pi

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Zeta Psi Chapter Initiate Application
Full Name:
NSHE Number
First
Last
GPA (UNLV or Transfer)
Major(s) / Minor(s)
For Chapter Use Only
Shirt Size (allow for shrinkage)
Contact Information
Facebook
Home Phone
Cellular
RebelMail
@unlv.nevada.edu
Email will only be sent to your UNLV RebelMail account
Local Address
Street
City
Zip code
Membership Approved / Denied
Transcript
GPA
Schedule
National Initiation $ 95.00
National Dues $ 64.00
Chapter Initiation $ 88.00
Chapter Dues $ 60.00
Emergency Contact
Name
Relationship
Best Contact Number(s)
Application must be submitted with a copy of either your current unofficial transcript or transfer credit report
from MyUNLV along with a copy of your current semester class schedule. Please deliver in sealed envelope to the
Initiate Chair Taylor Cunningham or any Phi Sigma Pi officer. For questions, please email:
phisigmapiatunlv@gmail.com
By my signature, I attest that the information presented in this application is true and complete. I agree to follow all
UNLV rules and regulations regarding Student Run Organizations, including my agreement not to participate in, and
to immediately report, hazing in any form to the Zeta Psi leadership, UNLV office of Student Conduct, and the Phi
Signature
Date
Phi Sigma Pi at UNLV does not discriminate based on any protected classes to include: Race, Color, National Origin, Ancestry, Religion, Sex,
Familial Status, Disability, Age, Sexual Orientation, or Gender Identity
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