Young Rho Psi Member Registration Form

You must meet at least one of the following to be qualified to apply:

Past Rho Psi Scholarship Awardees
Descendants of a Rho Psi Member
Persons invited to apply by a Rho Psi Member

If selected, you will be asked for documentation to support the data you provide. In order to maintain active member status, Rho Psi Alpha Sub-Chapter members must post a minimum of 3 activities or accomplishments to the Rho Psi Internet. This can take the form of a Facebook post promoting the member’s achievement in the areas of Chinese American youth development, Chinese culture, or community service.

Likewise, all correspondence and award agreements will be generated from the personal information submitted below.

Full Name *

First Name Last Name

Member ID (Official use only):

Chinese Name

E-mail : *

Gender: *

Primary Contact No. : *

Area Code Phone Number

Parent's Name *

First Name Last Name

Parent's E-Mail *

Home Address : *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Home No. :

Area Code Phone Number

Current School

Year

Current Company

Position

Qualifications *

Scholarship awardee Descendant of Rho Psi Member(s) Recommended by Rho Psi Member(s)

Year Awarded

If you are a scholarship awardee

Type of Award

If you are a scholarship awardee

Descendant of whom:

If you are a descendant of Rho Psi Member(s)

Recommended by whom:

If you were recommended by Rho Psi Member(s)

Additional Comments or Questions

0/500

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received.

E-Signature: *

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