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The Las Positas College Chapter
Chapter Excellence Award 2008-2009

Application 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