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Name (First)
Name (Last)
Email
Alternate Email (optional)
Student ID Number
Address
Anticipated Graduation Date
Current Classification
2nd Semester Sophomore
Junior
Senior
Graduate
Have you completed 9 semester hours of Psychology?
Yes
No
Psych GPA of 3.25 or higher?
Yes
No
Psi Beta Member?
Yes
No
Transfer Student?
Yes
No
Gender and Preferred Pronouns (optional)
Race/Ethnicity (optional)
International Student?
Yes
No
Are you planning to submit a scholarship application to Psi Chi at ASU Tempe to cover membership dues?
Yes
No
Additional Interests/Hobbies
Areas of interest
Applied Behavior Analysis
Education
Human Resources
Law
Marketing/Sales
Medicine
Mental Health
Research
Social Work
Statistics
Other