PI MU EPSILON - Application for Membership

Name ____________________________________________________________________________________________
please print
First Name
Middle Initial
Last Name

Home Address ______________________________________________________________________
_____________________________________
City
________________________
State
__________________
Zip
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Email Address
________________________
CMR #
_______________________
Campus Phone
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Major or Minor Interest
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Year of Graduation

Present overall cumulative average: ___________________________________
Math Courses Taken at SLU
Grade
Math courses presently enrolled in
     
     
     
     
     
     
     

List any mathematics courses transferred from any other college
Name of Course
Grade
   
   
   
   
   

______________________________________
Signature


____________________________
Date

NOTE: The induction ceremony includes the taking of the following pledge:

“I solemnly promise that I will exert my best efforts to promote true scholarship particularly in
Mathematics; and that I will support the objectives of the Pi Mu Epsilon Fraternity.”

Induction Fees are now paid by the Mathematics, Computer Science & Statistics Department