Welcome to Psychology Club! The fee to join is $5.00 for the academic year. Please complete this form, and attend a meeting or go to the Psychology Club Office (room 2236) during office hours to pay the $5.00 dues. You must complete both this form and pay your dues to be considered a member.
First Name *
Last Name *
E-mail *
Class Rank *	Freshman Sophmore Junior Senior
Academic Status: *	Full-time student Part-time student
Cell Phone Number
Were you a member of the Psychology Club last year?	Yes No
Were you initiated as a member of Psi Chi last year?	Yes No
Expected Graduation (FYY/SYY)
What field of psychology are you interested in? You may choose more than one.	Behavioral Clinical Cognition Developmental Forensic Language Perception Personality Psychosocial
I would like a WVU Psychology Club T-Shirt. Short Sleeve shirts are $9 and long sleeve shirts are $11.	Yes No
The image on the T-shirt.