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___________________________
Cell Phone_________________________ Home Phone _______________________
Year of Graduation from SCC ___________ Units Completed So Far __________
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
firstname.lastname@example.org or in person in H 308 or by mail:
Cari Cannon, Santiago Canyon College, 8045 Chapman Ave., Orange, CA 92869-4512