Lambda Pi Eta Chapter Application

College/University Name(Required)

Type of Institution(Required)

Four Year, Private Without Graduate Programs

Four Year, Private With Graduate Programs

Four Year, Public Without Graduate Programs

Four Year, Public With Graduate Programs

Department/Unit Name(Required)

Department/Unit Phone Number(Required)

Department/Unit Fax Number

Faculty Advisor Name(Required)

Faculty Advisor Title(Required)

Faculty Advisor Mailing Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Faculty Advisor Phone(Required)

Faculty Advisor Fax

Faculty Advisor Email(Required)

Campus requirements/procedures for the formation of an honor society(Required)

The campus requirements have been fulfilled

The campus requirements are in the process of being fulfilled

There are no campus requirements/procedures

Minimum Credits(Required)

By selecting this option and submitting this online form, I certify that the host institution offers a minimum of 30 credits in Communication and Communication-related courses, which is a requirement for membership in LPH.

Please provide a URL to the course catalog or Communication curriculum(Required)

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