Pi Sigma Alpha - Iota Rho chapter

Application Form

 

Return to the Department of Political Science, Philosophy and Religion

Carnahan Hall, Room 211B

 

Name:     ____________________________________________________

 

Local Address:      _____________________________________________ 
                          _____________________________________________
                          _____________________________________________

 

Telephone:   ______________________________________________
 

Email:     _________________________________________________

 

Political Science courses taken and grades received:

 

1.

 

6.

 

2.

 

7.

 

3.

 

8.

 

4.

 

9.

 

5.

 

10.

 

 Link to My Southeast (www.semo.edu/mySoutheast/index.htm)

 

Grade point average in political science courses:     _______________

 

Total University hours completed:       ________

 

Cumulative grade point average (GPA):         ___________

 

 

Enclose $30 for initiation fee.