I. Preliminary Questions

1. Have you completed or will you have completed by the end of the current term one full college academic year?                  _____Yes                                                    _____No


2. Have you received two grades of "A" in college level foreign language (the same language) or American Sign Language courses?                                      _____Yes                                                _____No                


                    If you answered “No” to question #2, have you received one grade of “A” in college level foreign                 language or American Sign Language?                                 _____Yes                                _____No                                      


3. Do you have a Grade Point Average of "B" (3.0) or higher in all completed college level courses?               

                                                    _____Yes                                                _____No                                       


4. If you are a native of a non-English speaking country, have you received two grades of "A" in college level English or English as a Second Language (ESL) courses?           

                                                    ____Yes                                                  _____No                 _____Not applicable                                          

III. Applicant Information

Last name:____________________________                First name: __________________________

 Student ID # ______________________________             

 Street address:            ___________________________________________________________________________             

City, state, and zip code:__________________________________________________________

 Email (the account you check most often): ___________________________________________________________________________              

Phone: _____________________________________________________________                    


 List all completed foreign language, American Sign Language, or English/ESL courses. Do not include courses which you are taking current term. Indicated the institution where each course was taken and the grade received.

Course name and number












Alpha Mu Gamma Membership Dues are as follows:

$7 for Associate Members

$30 for Full Members (if you are already an Associate Member, dues are only $23)

You may pay dues with cash or check.  Checks should be made out to Alpha Mu Gamma.

Dues may be paid to any Alpha Mu Gamma advisor:

                    Mary Lou Ippolito                100/204                    574-6802        

Lisa Lopez                                        100/220                    574-6681        

Patti Newman             100/221                    574-6405