Walden University TUA Upsilon Human Services Honor Society Membership Application
Today's Date
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Month
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Day
Year
Date
Your Name
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First Name
Last Name
Student ID#
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Your @Waldenu.edu Email Address
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Reminder: your @waldenu.edu email address has a "U' after Walden.
Your Mailing Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please provide your name as you would like it to appear on the Membership certificate. For example, Mary J. Smith or Mary Jane Smith etc.
First Name
Last Name
Do you meet the GPA requirements of 3.25 or above?
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Yes
No
Have you completed at least 12 credit hours in Human Services or Social Services?
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Yes
No
Please check one:
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Freshman
Sophomore
Junior
Senior
Graduate Student
Doctoral Student
Graduate
Name of program of study and degree being pursued or completed:
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Expected date of graduation or date graduated (Month/Year)
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Overall GPA:
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Course catalog designations completed to date in the major (all courses required for your degree, not just human service courses e.g., ENG101 English Composition, HMS101 Introduction to Human Services):
Awareness of the Value of Service and Leadership
Please write short answers to the following questions in order to demonstrate your commitment to providing excellence in service to humanity.
State your professional goals:
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Identify community service projects/fundraising and/or volunteer work (includes community-based course work):
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List current memberships (organizations, campus clubs, and other affiliations):
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Write a brief statement that demonstrates your commitment to the field of human services and your values/beliefs about becoming a helping professional (whether in the nonprofit arena or case management):
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Acknowledgement
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I understand that my name may be acknowledged during the induction ceremony.
Applicant’s Commitment
In signing this application form for membership in Tua Upsilon Alpha National Organization for Human Services, I declare that the information I have provided on this form is true and correct and do hereby solemnly promise to pursue academic excellence, to maintain high moral and ethical character and to provide excellence in service to humanity. Furthermore, I commit myself to comply with and adhere to the By-Laws of the Tua Upsilon Alpha Honor Society, and to abide by the NOHS Code of Ethics.
Official or Unofficial Transcript (please attach)
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TUA Upsilon Membership Fee | Lifetime Fee (non-refundable)
$
80.00
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