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Psi Beta Application


Application for Membership in Psi Beta

Applications are due on September 1st for Fall inductions and

March 1st for Spring inductions.

Last Name________________________ First Name___________________________

E-mail Address_________________________________________________________

Cell Phone_________________________    Home Phone _______________________

Mailing Address__________________________________________________________


Year of Graduation from SCC ___________ Units Completed So Far __________

Cumulative GPA__________

Psychology GPA__________

Are you interested in? _____Active/involved membership      ____Officer positions     ____Inactive membership

Would you prefer a     ___GOLD or     ___SILVER     Membership Pin?

Attach a copy of your transcripts (unofficial okay) and return to Dr. Cannon via email at or in person in H 308 or by mail:

Cari Cannon, Santiago Canyon College, 8045 Chapman Ave., Orange, CA 92869-4512