Promoting scholarship, leadership, and fellowship among America's brightest collegians since 1916. 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