Response-O-Matic Form

 

Phi Theta Kappa
International Honor Society of the Two Year College
Theta Omega Chapter

Online Application for a Team Leader Position

Fill out this application for a Team Leader position. Click on Submit when ready to send it to Theta Omega. Please read the requirements of the Team Leader position that you will seek. Click here to see responsiblilty and requirements.



Personal Information:
Last Name:
First Name:
Middle Name or Initial:
Street Address:
City:
State:
Zip Code:
Home Phone:
Work Phone:
Other Number:
Major:
Email:



Background Information:


For whom would you like to fulfill the Team Leader position with?


What is your cumulative grade point average for Associate Degree course work?
(example: 3.659)

What is your anticipated graduation date? (example: Fall 1991)

When did you first attend Wright College? (example: Spring 1989)

Will you attend Wright College for another school year?   

How many hours do you have spare to dedicate to your duties?


Did you get inducted into Phi Theta Kappa?  
If so, when  Term:  Year:  (e.g 1981)

How active are you in Phi Theta Kappa regionally, internationally and locally?


Please list all activities that you currently are involved in? (e.g. work, family and extracurricular)



Essay Questions:


Why are you seeking an office in Theta Omega Chapter of Phi Theta Kappa??


What is your view on the Honors Study Topic and what would you do to promote its awarenss?



Permission and Commitment: By submitting this form, I, ,do hereby authorize Phi Theta Kappa to verify my grade point average by checking my transcript and official record in the Student Records Office. I promise to participate in as many chapter activities as possible before elections or appointment.
Date: (e.g. August 12 1979)

Click to submit form Click to reset form




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