ALPHA MU GAMMA APPLICATION FOR CANDIDACY
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?
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): ___________________________________________________________________________
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 email@example.com
Lisa Lopez 100/220 574-6681 firstname.lastname@example.org
Patti Newman 100/221 574-6405 email@example.com