The Las Positas College Chapter
Chapter Excellence Award 2008-2009Application for Membership
1) Submit application with your transcripts to the advisors (Ernie Jones, Robin Roy) or your psychology instructor. (A copy of transcripts is fine.)
2) Include a check for $68.00 (covers: the one time national membership fee, $50.00, and the Psi Beta gold medallion/ribbon, $18.)
(Make out check to LPC Psi Beta. Check should also have your LPC student ID "W" number).
Name
Student W ID#
Address
City
Zip
Phone
email address
Grade Point Average (GPA)
List Psychology Courses Completed:
Grade