Update Your Address

Use this form to update your address with Headquarters.

Visit the Phi Theta Kappa Enrollment Form to ensure that you have submitted your graduate/transfer date, major and other important information to us. Completing and updating the Enrollment Form will help ensure that you will be considered for scholarships and that you will have access to exclusive membership benefits.

Answers that are required to complete this form are marked with an asterisk.

* Classification:
Member Alumni Advisor Other

* Current Name:

* Name When Inducted:

* College Where Inducted:

* Chapter Where Inducted:

* Approximate Date When Inducted:

* Former Mailing Address:

Current or New Mailing Address:

* Street Address:

* City:


* State: * Zip:

Phone with Area Code:


Email Address:


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If the information on this on-line form is complete and ready to be sent to Headquarters, press Submit. If you would like to clear the form and start over, or wish to complete the form at a later date, press Reset.

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