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Name: _________________________________________________________________________________________ Local Address: ___________________________________________________________________________________ Cell Phone: ____________________________________ E-mail: ___________________________________________ Major: _______________________________________ Minor (if applicable):

________________________________ Class Standing/ Expected Date of Graduation: __________________________ Polo Size: _______________________ Reference Name:_____________________________ E-mail:_______________________ Phone:_________________ (Reference must be Adelphi Faculty or Administrator) Please answer ALL of the following questions on a separate sheet of paper. Each answer should be typed and no more than three (3) paragraphs in length per answer. 1-List all campus involvements, job positions, awards and/or honors since attending Adelphi University. Please provide dates and any positions held in those activities. For one (1) of these organizations explain how being involved has helped you develop into a prominent leader on campus. Organization/Office Positions Held Dates Held 2-What are the three (3) most important values you display while being a campus leader? Explain how these values affect your experiences on campus. 3-How has your academic experiences at Adelphi molded you into the leader you are now? 4-Why do you want to join Sigma Lambda? What would bring to this honor society? 5-What has been your greatest contribution to the Adelphi community so far? Why? 6-Please list all available times for interviews (if selected to go to the next round) for the following days: March 29th through the 30th. Note: The following are basic requirements to be considered for the Adelphi University Chapter of Sigma Lambda Honor Society: -Must be actively involved on campus through campus activities, clubs and/or organizations. -Must have at least a 2.7 cumulative G.P.A. on the Adelphi University scale (verified by C.S.I.) -Must have completed at least 30 Adelphi University credits. -Must be in good judicial standing (verified by C.S.I. and the Office of Student Conduct and Community Standards) -Highly encouraged to be registered for the Leadership Certificate Program Each applicant will be notified as to whether or not they will continue the application process and receive an interview from the Sigma Lambda executive board. Applicants who will be selected for interviews will be contacted by Sigma Lambda-taking place on March 29th through the 30th. There is a one-time membership fee of eighty dollars ($80.00) for all new members. I, ___________________________, acknowledge that the information contained in this application is factual. I give permission to the Center for Student Involvement to access my academic and disciplinary records with Adelphi University. This information will be used for the sole purpose of determining my qualifications for the honor society. Applications are due Friday, March 23, 2012 by 4:30 pm to the Center for Student Involvement Office in the University Center Room 110. All applications MUST be time stamped. Contact the following for questions, comments, concerns: Pedro Hipolito, Sigma Lambda Vice President of Membership pedrohipolito@mail.adelphi.edu Anthony Passarella, Sigma Lambda President, anthonypassarella@mail.adelphi.edu **This application is taken very seriously and weighs heavily in the selection process for Sigma Lambda**

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