Gamma Theta Upsilon

The International Geographical Honor Society

 

GTU Announcements

June, 2017 Volume 57-1 of The Geographical Bulletin is now available online.

March, 2017 Issue of the GTU Newsletter is now available on our Newsletter page.

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Please continue to the next page before printing.


Initiate Report and Address Form

Reporting of Initiates to Executive Secretary

Please read carefully before filling in this form! Check for errors before continuing to the next page.

Use this form to report regular initiates. Chapters with potential honorary members should contact the Executive Secretary for instructions on how to proceed.

Give names exactly as wanted on the Certificates. Chapter numbers are assigned by local Chapter. The Executive Secretary will assign each an International Number. Do not omit the date of initiation. Regular membership dues of $40.00 per initiate must be submitted as a total sum in a single check made out to: Gamma Theta Upsilon; student checks will not be accepted and will be returned.

The printed form and the check should be sent to the Executive Secretary at the address on the next page (Note the new address from September 2015). A copy of the initiate report with the international chapter numbers will be returned to the chapter and must be kept in its file.

*required fields

Institution*
Department

Full School Address* (include street, city, state, and zip)
 
Chapter Sponsor*
Sponsor's Email Address*
Initiation Date*   
Annual Chapter Revenue*   under $50K      over $50K
Do you wish to receive a blank Certificate of Excellence to give to a student in your chapter?


 Yes        No
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 
Name of Initiate*

(Please enter carefully; the full name will appear on certificate exactly in the order entered. Do NOT use ALL CAPITALS.)
 
Home Address*:
  **
 
 
 
 
 
 



Click Continue to create the complete printable form with an initiate eligibility statement that must be signed. Submitting an unsigned form will delay processing of new initiates.


Important.

To help prevent automated submissions of this form, please enter the word 'geography' here:

*

If initiating more than ten new members, please complete and print out additional pages.

Note: the PDF versions of these forms are no longer available. The Report must be filed using the online form above ONLY.

*Required fields

**Give the address to which each wants THE GEOGRAPHICAL BULLETIN sent. Each new member receives a one-year subscription.