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Phi Theta Kappa
Mu Mu Chapter
Enhanced Membership Log


   Name                                                                        Term

 

You are responsible for recording your volunteer hours on this sheet and making sure that all hours are signed off by a Mu Mu Officer. When you have reached your goal, please submit this form to the Processing Secretary. Each form will be reviewed by our advisor, Professor Mary Di Stefano Diaz, to verify that you have participated in activities relating to each of Phi Theta Kappa’s four Hallmarks: Scholarship, Leadership, Fellowship, and Service. We look forward to seeing you at our next Enhanced Membership Recognition Ceremony!

 

Date

Description of Activity

Hours

Hallmark

Officer’s Signature

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

   ***Remember that at least half of the hours you put toward enhanced membership must be with Mu Mu.

Circle Desired Membership Level : Gold( Minimum of 36 Hours)    Silver( Minimum of 26 Hours)
 

Member’s Signature                                                                         Date 

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