TRIOTA MEMBERSHIP APPLICATION

Complete this form for Triota Club Membership and/or Honor Society. The Club President and/or WGSS Director will follow up with you.

Name*
First Last
Academic Status (freshman, sophomore, junior, senior):
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email:*
Phone Number:*
Current Grade Point Average (for Honors Society):
List WGSS Courses - W105 plus others (for Honors Society):
Explain why you would like to join Iota Iota Iota (Limit 250 words, specify Club or Honors level):
If applying for Honors membership, please attach an unofficial copy of your transcript.

Indiana University Indianapolis