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Beta Alpha Psi, Zeta Pi Chapter Old Dominion University
Fall 2023 Candidate Application. If you have any questions please email BAPzetapi@gmail.com
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University Information
Name:
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Your answer
UIN
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You can find your UIN through LeoOnline, or on your student ID card.
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ODU Email
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Your answer
Academic Information
Semester:
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Expected graduation date.
Fall
Winter
Spring
Summer
Year:
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Expected graduation date.
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Check One
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Undergraduate
Graduate
Major/Program
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If undergraduate was checked, what is your major?
If graduate was checked, what degree do you have and what program are you enrolled in?
Your answer
Transcripts
*
Unofficial transcripts are required for courses that were not taken at ODU. Please email your unofficial transcripts to Professor O'Shaughnessy at poshaugh@odu.edu.
I have non-ODU transcripts to submit.
This does not apply to me.
Contact Information
Permanent Address
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Mailing Address
If your mailing address is the same as your permanent address, leave this blank.
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Home Phone
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Cell Phone
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Personal Email
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Date of Birth:
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Shirt Size
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Medium
Large
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Other:
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Photography Release
Photo Release
*
I hereby authorize the Zeta Pi Chapter of Beta Alpha Psi to publish photographs taken of me, my name and likeness for the use in the Chapter’s print and/or online platforms as well as in video-based projects.
Yes
No
Signature
In lieu of a paper form, please enter your name here as a digital signature.
Name
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Date
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Today's date
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