Gamma Sigma
Epsilon
National Chemistry Honors
Society
Chi
Chi (CC)
Chapter
at The University of North
Carolina at Pembroke
This application is for students interested in joining the CC chapter of GSE at the University of North Carolina at Pembroke. Membership requirements include enrollment at UNCP, a minimum of 16 hours of chemistry course work (to be completed, at latest, by the end of the academic year (spring semester) of nomination), and a 3.0 overall GPA with a GPA of 3.0 in chemistry. The one time due for the National Society is $30, to be turned in along with application. If upon confirmation of eligibility is unable to be made, said students money will be refunded to them, and student will be encouraged to reapply when eligible,
Name: (First,
Last, Middle Initial)
Sex
(M/F):
Social Security Number:____________________
Date of Birth:
Classification:_________________
(Freshman/Sophomore/Junior/Senior)
Email address:
________________________Estimated Graduation Date:
_____________
Major(s):
________________________________________________________________
Minor(s):
________________________________________________________________
Permanent
Address:__________________________________City/Zip:________________________
School Address (if
applicable):
_______________________________________________
Home Phone: (
)
-
School phone( if
applicable): -
.
Other professional/academic affiliations: