Alpha Sigma Nu
The Jesuit Honor Society
Holy Cross Chapter

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Application for Membership

NAME (Last) (First) (Middle):
E-MAIL:
SS#:
HC ID#:
LOCAL TELEPHONE:
HOME ADDRESS:
(CITY/STATE/ZIP):

MAJOR  
FALL GPA CUMULATIVE GPA

ACADEMIC AWARDS / NOTEWORTHY ACHIEVEMENTS

1.

2.

3.

4.

EXTRACURRICULAR ACTIVITIES (Clubs, Sports)

1.

2.

3.

4.

SERVICE ACTIVITIES

1.

2.

3.

4.

RELIGIOUS

1.

2.

3.

4.


REFERENCES

Please supply the name and telephone number of one member of the faculty who can evaluating your academic achievements and the name and telephone number of one person who can evaluate your service contributions (a Chaplain, someone from DOS, a supervisor, etc.). Please provide each of your recommenders with a copy of our recommendation form. Students who are studying abroad may download the MSWord version, fill-in their name and e-mail it to their references.

Faculty Reference Name
Position
Telephone

Service Reference Name
Position
Telephone


ESSAY

Please compose an essay in which you describe your most significant experience of service and how it contributed to your understanding of the dual goals of Jesuit higher education: excellence in scholarship and a commitment to improve society by means of service to others. Be creative!

Please e-mail your text as an attachment to asn@holycross.edu.