EmailMe Form - SALUTE Transfer to Walden Form

Full Name
(Type this exactly how you would like it noted on your certificate. If your name is in CAPS, it will be printed on your certificate in CAPS) *

First Last

Address
(Your Membership Kit will be sent to this address. Walden is not responsible for undelivered kits due to incorrect addresses.) *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Student ID # (A00....) *

Walden Email *

Alternate Email

Status *

Veteran

Active Duty

National Guard

Reserves

Phone

### - ### - ####

Branch of Service *

Degree Sought *

Bachelor

Masters

Doctoral

Your Current Program (ex. Clinical Mental Health Counseling, Education, Management, Business Administration, etc.) *

What Chapter are you transferring from? *

Academic Requirements

Please contact your Student Success Advisor at 800.925.3368, option 2 or studentsuccess@mail.waldenu.edu if you need to confirm your GPA and # of overall Walden credits.

GPA (reminder: UG requirement: 3.0 and Graduate requirement: 3.5) *

Inaccurate GPA may result in delaying your membership application.

# of overall credit hours (reminder: UG requirement: 12 overall Walden credits and Graduate requirement: 9 overall Walden credits)

Please attach a copy of your military orders/DD-214 with Honorable Discharge *

Acknowledgements *

I understand that my name will be acknowledged during the induction ceremony.

By signing below, you agree to the following conditions:

•All information above is accurate.

•Abide by all guidelines as set forth by the SALUTE National Honor Society Executive Steering Committee.

•Maintain the integrity of the honor society by submitting unofficial transcripts with annotated GPA and a copy of military orders/DD-214 with Honorable Discharge.

•Submit a $35.00 (non-refundable) transfer membership fee upon initial application.

•You will be invited to the next induction ceremony. Induction ceremonies typically take place in May and November every year. *

Clear

Typed Signature *