Religious Studies Theta Alpha Kappa induction form

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Religious Studies

Theta Alpha Kappa new member induction form

If you have been offered induction into Theta Alpha Kappa please complete the new member induction form below. Membership in TAK is by invitation only. Submitting this form does not constitute membership in TAK, membership is only granted after local chapter induction and payment of the $25 induction fee. For more information about TAK including news and events, scholarships and awards and membership information, please visit the national Theta Alpha Kappa web site.

Personal information
*First name:
*Last name:
*Permanent mailing address:
*City:
*State:
Country:
*ZIP code:
*E-mail address:
Induction information
College or university:
Chapter code:
Membership category:
Semester of induction:
Year of induction:
Expected year of graduation:
Moderator information
Chapter moderator's e-mail:
After completing this form and verifying that all of the information is correct, please print this page, click the "submit" button below and mail the form with your $25 induction fee to your local Theta Alpha Kappa chapter moderator. Checks should be made payable to Theta Alpha Kappa. Your chapter moderator should send the payment to: Dr. Betsy Bauman TAK National Secretary St. Norbert College 100 Grant Street De Pere, WI 54115

Religious Studies

Phone: (920) 403-3119
Fax: (920) 403-4086
E-mail: religstudies@snc.edu

St. Norbert College • 100 Grant Street • De Pere, WI 54115-2099