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PSI CHI: The International Honor Society in Psychology

ECharter

Please fill in the form below so that we may contact you via email with more detailed information about applying for a charter.

Name

First Name

Last Name

Degree

Enter email again (for verification)

URL of Institution (please include http://)

URL of Psychology Department (please include http://)

Name of College or University

Is your campus a for-profit institution?

Yes
No

Country of university

Accreditation Association

Student
Faculty Member
Other

If you are a Psi Chi Member enter your Member ID

Degree field (i.e. Developmental, I/O, Cognitive, etc.)

Are you the full time faculty member willing to serve as the faculty advisor through the application process and afterward if a charter is approved?

Yes
No

Faculty office phone

Name of department

Mailing address of department

City

State

Zip

Department phone

Department fax

Number of full time faculty with a doctoral degree in your psychology department