Beta Beta Beta Membership Application
Eta Pi Chapter
APSU

Please complete the form provided to apply for Beta Beta Beta membership at Austin Peay State University. Once an application is received, it is the student's responsibility to submit either a "Unofficial transcript" or "Degree Audit" (both of which are available thru the AP Self Service located on the APSU Home Page) to the Department of Biology Office (SSC D125) with Attention: Dr. Chad Brooks, TriBeta Advisor.

Qualified applicants will be inducted into the Eta Pi Chapter of Beta Beta Beta during the Annual Induction Banquet held each Spring Semester. The name given on this form will be used to create your membership certificate.  Dues for active and graduate membership are $45.00 ($35 for an associate membership) and are payable before the date of the Annual Induction Banquet.  Included in this fee is a National Beta Beta Beta Biological Honors Society Life time Induction Fee, Local Eta Pi Chapter lifetime induction fee, graduation honors cord, and a two year subscription to the journal BIOS. Your subscription to BIOS will be sent to the Eta Pi Chapter for campus distribution.

Select the category of membership for which you are applying:
Active ($45)      Associate ($35)  Graduate ($45)  

Enter your name just as you would like for it to appear on membership certificate.


Enter your local mailing address in the space provided below.
Check here if this is the address where you would like Induction Banquet Invitation Sent. 
Street       
P.O. Box 
City         
State        
Zip Code 

Enter your local telephone number in the space provided below.

Enter your Email address in the space provided below.

Enter your permanent mailing address (if different from above) in the space provided below.
Check here if this is where you would like Induction Banquet invitation sent.

Please select current school year classification?

Sophomore Junior Senior Graduate

If applicable, enter the date that your plan to graduate in the space provided below.

THANK YOU FOR YOUR INTEREST IN TRIBETA !!

Electronic Submission is NOT working.

Please print form and submit a hard copy.

Last revised: October 02, 2007