WaldenU SALUTE Transfer Membership Application

Walden University

This form is to be used if would like to request to transfer to Walden's SALUTE Veterans Honor Society. IMPORTANT: You will be required to attach your Military Orders/DD-214 with Honorable Discharge in order to submit this form.
Name*

First NameLast Name
Address (Your Membership Kit will be sent to this address. Walden is not responsible for undelivered kits due to incorrect addresses.)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your WaldenU Student ID#*
Your WaldenU Email Address*
example@example.com
Your Personal Email Address*
example@example.com
Phone Number
Status*

VeteranActive DutyNational GuardReserves
Branch of Service*

BachelorMastersDoctoral
Your Current Program (ex. Clinical Mental Health Counseling, Education, Management, Business Administration, etc.)*
What Chapter are your transferring from?*
GPA (reminder: UG Requirement: 3.0 and Graduate requirement: 3.5)*
# of overall credit hours (reminder: UG requirement: 12 overall Walden credits and Graduate requirement: 9 overall Walden credits)*
Please attach a copy of your military orders/DD-214 and Honorable Discharge Paperwork *

Cancelof
Acknoweldgement*

I understand that my name will be acknowledged during the induction ceremony.
By signing below, you agree to the following conditions:

•All information above is accurate.

•Abide by all guidelines as set forth by the SALUTE National Honor Society Executive Steering Committee.

•Maintain the integrity of the honor society by submitting unofficial transcripts with annotated GPA and a copy of military orders/DD-214 with Honorable Discharge.

•Submit a $35.00 (non-refundable) transfer membership fee upon initial application.

•You will be invited to the next induction ceremony. Induction ceremonies typically take place in May and November every year.
Signature*

Clear
Typed Signature*

My Products*

Transfer Membership Fee

$35.00 Quantity

Total

$0.00

Credit Card

Should be Empty:

Walden University

Credit Card