Phi Kappa Phi Student Opportunity Fund

Please complete this form so we can directly contact and register the two students you would like to provide with the free, one-year membership. You can submit one name at a time if needed. Please contact chapters@phikappaphi.org with any questions.

College or University Name

Chapter Number

Recipient 1 First and Last Name

Recipient 1 Email

Recipient 2 First and Last Name

Recipient 2 Email

By disclosing and submitting this information to The Honor Society of Phi Kappa Phi, you acknowledge, agree, and affirm that you have obtained the student’s permission and consent to disclose their information for purposes of the Student Opportunity Fund. You also acknowledge and agree that you are complying with the Family Educational Rights and Privacy Act (FERPA), 20 U.S.C. § 1232g; 34 C.F.R. §§ 99.1- 99.67, federal and state laws and regulations, and all FERPA policies and procedures of your institution. Please do not provide any information other than “Directory Information” as defined by FERPA and your institution. Please remove all students who have opted out of disclosing Directory Information in accordance with FERPA.

I am in compliance with FERPA policies as outlined above

Chapter Fees

My chapter agrees to waive all first year chapter fees for this/these students (initiation fee, chapter dues, guest fees, etc.)

Submitted by First and last Name

Chapter Officer Position

New code

Please type the code above