Read and follow the instructions carefully prior to submitting your application. The application deadline is May 1, 2024.
OPhiA Chapter: Chapter Name*
Activation year and semester (e.g., 20XX/fall): year/semester.* .
How many semesters did you take a leave of absence while an active member? # of semesters* .
When you press the submit button, you will receive an email confirmation that your application was received. Thank you for completing this application!