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Chapter Application (Letter of Intent)

School Information

School Name:  
Address:  
 
City:  
State:  
Zip:  
URL:  

Contact Information

First Name:  
Last Name:  
Title:  
Phone:  
E-Mail:  

What level are you applying for?  2 yr school (Omicron-Psi Silver)
4 yr school (Omicron-Psi Gold)
Graduate School (Omicron-Psi Gold)

Please select a username and password to access your information online.

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Membership applications are accepted year round.

Membership dues are as follows.

Omicron-Psi Silver $35.00 (one time fee)
Omicron-Psi Gold $35.00 (one time fee)

Membership fees include, member certificate, member pin, scholarship application and graduation honor cords.

Enter the code as it is shown below:

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