PHI THETA KAPPA Honor Society

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.