header Image
Membership Application
Return to Psi Chi Website
Student Section
*
Local Chapter

If your school does not appear in the dropdown, click here for more info

*
First Name
Middle Name
*
Last Name
Suffix
*
Your Birthday
*
Email Address
Alternate E-mail
Mobile Phone
Home Phone
Work Phone
Fax
School Name
*
Student ID No

If none, enter 000000
Graduated
Mailing Address
*
Mailing Address1
Mailing Address2
*
City/Town
*
State/Province/Location
*
Postal Code
*
Country
Organization/Employer
Your Profession
Your Title
Work Website
Physical Address
*
Street1
Street2
*
City/Town
*
State/Province/Location
*
Postal Code
*
Country
*
Expected Graduation Date
Current Classification
Have you completed a minimum of 9 semester hours or 14 quarter hours of psychology courses?
Do you currently have a psychology GPA that is a minimum of 3.0 on a 4-point scale?
I have read and accepted Psi Chi's Constitution.
Click here to view the Constitution.
The following information is used only for internal Psi Chi statistical purposes.
Psi Beta Member
Gender
Race/Ethnicity
Are you classified as an international student by your university?
*
Country of Citizenship
Are you currently active at your campus?
Submit Application
*
Name/Signature