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Department of Sociology, Anthropology and Crime and Delinquency Studies


Application Form

Instructions: 
Please fill out all applicable information in the spaces below. Return the form to Dr. Terrell in Butcher Education Center 114. Dr. Terrell will verify your eligibility. You should include the $45.00 (any person not qualified to join will have their fee returned). Please make you check payable to Alpha Kappa Delta or AKD. If you have any questions or problems, please visit our website at

http://www.emporia.edu/socanth/akd/officers.htm for names of officers. Thank you for your interest in AKD!!



Today's Date _______________________________ 


Name (as you want it to appear on your membership certificate): 

______________________________________________________________________ 
First, Middle, Last

Mailing Address:

Street:_____________________________________________________

City: _________________________ State : __________ Zip: ________

Local Telephone No: _______________   E-mail address: _____________________

Major(s): _________________________________ Minor: ______________________

GPA (example 3.2)   Overall _______   Sociology ________

Academic Year: (circle)   JR   SR

Anticipated semester and year of graduation: ______________________________

 Please list all Sociology courses completed: 

____________________________________________________________________ 

____________________________________________________________________ 

____________________________________________________________________

 
 
 
 

Last Updated September, 2007