Phi Epsilon Kappa / Exercise Science Zeta Psi Chapter Membership Application

The Department of Exercise Science hosts the Phi Epsilon Kappa (PEK) Zeta Psi Chapter at Tennessee Tech.

For information, please contact Dr. Christy Killman at ckillman@tntech.edu or call 931-372-3467.

APPLY NOW

Your Name Your Name First Last
Current Semester/Year
T-Number
Your Tennessee Tech Email Address
Your Preferred Contact Number Your Preferred Contact Number - ### - ### ####
Your Major Concentration of Study
Your Current Class Standing

Your Current Class Standing Freshman Sophomore Junior Senior Graduate
Your Total Completed Credit Hours at the time of this application.
Your Current Grade Point Average (GPA)
Anticipated Date of Graduation Anticipated Date of Graduation / MM / DD YYYY
Enter the Name of a Potential Reference
Enter the Email Address of Your Reference
Please list your Extracurricular Activities
Please list Other Group and/or Club Affiliations

Please answer the following:
Please answer the following:	Yes	No
Did you pass 5 of 6 parts of the fitness test?	Did you pass 5 of 6 parts of the fitness test?Yes	Did you pass 5 of 6 parts of the fitness test?No
Are you a current, paid member of Exercise Science Major’s Club?	Are you a current, paid member of Exercise Science Major’s Club?Yes	Are you a current, paid member of Exercise Science Major’s Club?No
Are you interested in leadership in Phi Epsilon Kappa?	Are you interested in leadership in Phi Epsilon Kappa?Yes	Are you interested in leadership in Phi Epsilon Kappa?No
Do you have a job outside of school?	Do you have a job outside of school?Yes	Do you have a job outside of school?No

Please write a brief statement of why you want to be a member of Phi Epsilon Kappa.
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