PHI THETA KAPPA International Honor Society of the Two Year College

Chapter of Service Enrollment Form

Please use this form to register or update your chapter’s focus areas for the 2006-08 International Service Program, Operation Green: Improving Our Communities.

Chapters need only register once as a participant in the two-year Service Program.

Date:

Chapter:

College:

Campus:

City:

State:

Advisor's Name :

Telephone:

Email Address:

Area(s) our chapter will focus on:
(Check all that apply.)

 Education and Raising Awareness

 Recycling

 Beautification

 Clean Communities

Questions? Please contact Phi Theta Kappa's Director of Programs Jennifer.Stanford@ptk.org, 601.984.3532.