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 Please complete the application as accurately as possible. All * fields are required.

General Information
If your school name does not appear in the dropdown below, click here.
Chapter Name:
School Name
First Name:
Middle Name:
Last Name:
Student Id Number:
Alternate Email:
Mobile Phone:
Home Phone:
Work Phone:

Mailing Address
Mailing Address 1:
Mailing Address 2:
Enter City:
Postal Code:

Physical Address
Same as Mailing:
Physical Address 1:
Physical Address 2:
Enter City:
Postal Code:

Student Information
Current Classification:
Graduation Date or Expected Graduation Date:  

Additional Information
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.
Are classified as an international student by your university?  
Are you currently active at your campus?  
Are you a transfer student?
Are you a Psi Beta member?  
Your Current Profession:
Your Current Title:
Employer Website:
other gender:
Other Race:

Consent Section
I have read and accepted the Psi Chi Constitution.
I have completed at least 9 semester hours or 14 quarter hours of psychology courses.
I have a psychology GPA that is a minimum of 3.0 on a 4-point scale.
In addition to the information that we send you for the legitimate intent to fulfill our contractual obligation in completing your membership, we may also send you communications that include information on products, services, discounts and promotions from Psi Chi or our partners. Psi Chi does not share members’ email addresses with third-party vendors. Please provide your consent to receive such communication.
By entering my name and selecting the submit button I certify that all information is true and accurate. I hereby authorize the Psi Chi faculty advisor the right to review my college records for the sole purpose of determining my eligibility for becoming a member of Psi Chi.
All * fields are required to be completed.