Las Positas College Chapter
Application for Membership

To apply for membership, you need to complete these four things:

1) Fill out the application for membership (below). Be sure to include your "W" number and Email address. Please print legibly.

2) Type a minimum one-page statement outlining your interests/goals in psychology and why you want to join Psi Beta.

3) Submit the application, personal statement, and a copy of your LPC transcripts to the advisors (Ernie Jones, Robin Roy) or your psychology instructor.

3) Make out a check for $75.00 (covers: the one time national membership fee $50 and gold medallion/ribbon, $25)
(Make out check to LPC Psi Beta. Check should also have your LPC student ID "W" number).

 

Please Print.


Name




Student W ID#

 

Address



City


Zip

Phone

Email address


Cummulative Grade Point Average (GPA) :


List Psychology Courses Completed at LPC:
(Do not include "Psych-Counseling" courses)


Semester Completed
Grade