PSI CHI Membership Application

Membership Application

In order to join, you must qualify for membership and join through the chapter where you are currently a student or faculty member. (see requirements). Once your faculty advisor approves your registration, you can enjoy the members-only areas of the site.

Please capitalize the first letter in each word of your entire name as you would like it to appear on your certificate. Should you make an error, email edits of your submitted application to membership@psichi.org.

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

YesNo

Mailing Address

Mailing Address1

Mailing Address2

City/Town

State/Province/Location

Postal Code

Country

Organization/Employer

Your Profession

Your Title

Work Website

Same as Mailing

Physical Address

Street1

Street2

City/Town

State/Province/Location

Postal Code

Country

If you are uncertain of the day of the month you graduated, please select the 1st.

Expected Graduation Date

Have you completed a minimum of 9 semester hours or 14 quarter hours of psychology courses?

YesNo

Do you currently have a psychology GPA that is a minimum of 3.0 on a 4-point scale?

YesNo

I have read and accepted Psi Chi's Constitution.

YesNo

Click here to view the Constitution.

Psi Chi values diversity in our membership as well as in our resources, initiatives and scholarships.
It helps to know a little more about our members. Information about individuals is kept confidential.

Psi Beta Member

YesNo

Are you a transfer student?

YesNo

Gender

MaleFemaleOtherPrefer not to respond

Specify Other Gender:

Race/Ethnicity

Asian or Asian AmericanBlack or African AmericanLatino/a
Native Hawaiian or Other Pacific IslanderAmerican Indian or Alaska NativeWhite
Multi-Racial/ EthnicEthnicity not listedPrefer not to respond

Specify Other Race:

Are you classified as an international student by your university?

YesNo

Country of Citizenship

Are you currently active at your campus?

YesNo

Submit Application

By entering my name and selecting the submit button below I submit my application to Psi Chi. I certify that all information is true and accurate. I hereby authorize the Psi Chi faculty advisor to review my college records for the sole purpose of determining my eligibility for becoming a member of Psi Chi.

Local Chapter

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

Graduated

Mailing Address1

Mailing Address2

City/Town

State/Province/Location

Postal Code

Country

Organization/Employer

Your Profession

Your Title

Work Website

Street1

Street2

City/Town

State/Province/Location

Postal Code

Country

If you are uncertain of the day of the month you graduated, please select the 1st.

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.

Psi Beta Member

Are you a transfer student?

Gender

Specify Other Gender:

Race/Ethnicity

Specify Other Race:

Are you classified as an international student by your university?

Country of Citizenship

Are you currently active at your campus?

Name/Signature