JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Mortar Board Honor Society Member Application
Please fill out the form below if you are interested in being selected for Mortar Board's 2024-2025 membership!
If English is not your primary language, you may write your submissions in your preferred language.
Due Date: December 31, 2023 at 11:59 PM
Sign in to Google
to save your progress.
Learn more
* Indicates required question
If you are completing this form to nominate someone else, enter your name here:
Your answer
First Name
*
Your answer
Last Name
*
Your answer
Pronouns
Your answer
Major
*
Your answer
Cumulative GPA
*
Your answer
WSU ID
*
Your answer
How many credit hours will you have completed by the end of Fall 2023?
(Expected class standing for Spring of 2024)
*
Your answer
Expected Graduation Date (Any applicant graduating Spring 2024 or Summer 2024 is NOT eligible.)
*
Fall 2024
Spring 2025
Other:
WSU Email Address (ex.
fmlastname@shockers.wichita.edu
)
*
Your answer
Phone Number (include area code)
*
Your answer
Permanent Address
(This will be utilized for national approval if you are selected for membership. Please do not use a campus address)
*
Your answer
Please add your spring class schedule.
(Enter at least 3 classes- or more if you choose. Include class name, day(s), times, professor name, and room number.
Example: Science Class 101, MWF, 9:30-10:30am, Professor Oak, WH123)
Please indicate if your schedule is not yet finalized, an email will be sent to all candidates in January to request your complete schedule.
*
Your answer
Mortar Board taps new members by coming to one of their classes or clubs and honoring them in front of their peers.
Do you consent to this?
If not, how would you prefer to be recognized?
*
Yes
Other:
Please list all Wichita State student organizations you are involved in. Include organization name, usual meeting day and time, and meeting location. (Example: Phi Delta Theta, Mondays at 7:00pm, Phi Delta Theta)
*
Your answer
Please initial here to give permission for Mortar Board general members to view the schedule submitted for the selection process. (Mortar Board members will NOT give this information to anyone outside of Fairmount Chapter Mortar Board. Information given will be deleted after 01/31/2024.)
*
Your answer
Mortar Board's three pillars are Scholarship, Leadership and Service. Please explain what those mean to you and how you practice them in your daily life. (250 word maximum)
*
Your answer
How do you show leadership on campus and in the Wichita community?
(250 word maximum)
*
Your answer
What motivates you to earn a higher education degree?
(250 word maximum)
*
Your answer
Mortar Board is a senior honor society that is nationally acclaimed. What motivates you to want to be a part of such a prestigious honor society here at Wichita State?
(250 word maximum)
*
Your answer
List your achievements and notable experiences during your college career. (Awards, study abroad, double major, minor, conferences, etc.)
*
Your answer
How did you hear about Mortar Board? (Please select all that apply.)
*
Email
Facebook
Instagram
Shocker Blast
Class or club presentation
Current or former member
Other:
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
