Beta Beta Beta

Biological Honor Society

Mu Iota Chapter

Membership Application Form

Date____________

Name____________________________________________________

Last First Middle

Email____________ Major__________ Year in School_____________

Home Phone___________ Cell Phone or Campus Phone________________

Please Circle Level of Application: Associate Regular Graduate

Associate membership - indicates an interest in biology. There is no minimum GPA required or major required for associate membership. Associate members pay a one-time fee of $35.00. Membership expires when student graduates.

Regular membership - requires the applicant be a BIOLOGY or BIOCHEMISTRY major having completed one additional course above the Introductory Biology BIO 150, 151, and having a minimum 3.00 GPA in Biology. Regular members pay one-time initiation fee of $45 or a $10.00 promotion fee if previously an associate member.

If applying for regular membership, plese list any course(s) beyond BIO 151 and estimated GPA in biology:

Courses:

GPA:________

Please list your areas of interest in the Biological Sciences :

PAYMENT MUST ACCOMPANY APPLICATION SUBMISSION

Please submit application to a Tri-Beta Officer or Dr. Kannan or Dr. Boyce. Please secure payment to application. Make checks out to Tri-Beta Honor Society

Paid_________

Date_________