Las Positas College
PSI BETA

National Honor Society in Psychology

Application for Membership
Turn in with copy of transcripts
to Faculty Advisor:
Ernie Jones, Office 2157
Enclose a check for $65.00 (lifetime membership fee and gold Psi Beta medallion and ribbon)
made payable to LPC Psi Beta/Psychology Club
~ be sure to include your LPC W # on check.


PLEASE PRINT





Name




Student ID#



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Signature_______________________________________________________________________ Date

 

 


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