* Full Name:
(as you would like it to appear on your certificate of membership)
* Student ID (855): * Expected Graduation Date:
* Total Credits Completed: * Overall GPA:
* Communication Credits Completed at WPU: * Communication GPA:
* Major / Concentration:
* Advisor's Name:
Permanent Address
* Address 1:
Address 2:
* City: * State: * ZIP:
School Address (if different from permanent address)
Address 1:
Address 2:
City: State: ZIP:
Telephone:
* WPU Email:
* Essay: Please describe in 500 words or less why you'd like to become a member of Lambda Pi Eta, what outstanding activities and credentials you can bring to the organization and how you'd like to improve campus-life at William Paterson University.