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Delta Delta Sigma

PRE-DENTAL SOCIETY

2007-2008 APPLICATION

NAME _________________________________________________________________

                        LAST                                     FIRST                                    MIDDLE

MAJOR(S)_____________________________________________________________

MINOR(S)______________________________________________________________

___Freshman    ­­­____Sophomore     ____Junior    ____Senior

Student ID #_____________________________________                  

PHONE _________________________________________

EMAIL __________________________________________

HOW DID YOU HEAR ABOUT DDS?

WHAT ARE YOU LOOKING FOR OUT OF THIS ORGANIZATION?

WHAT ARE SOME OF THE ACTIVITIES YOU WOULD LIKE DDS TO PROVIDE YOU WITH?

PAID DUES (Treasurer will fill out this section)

                ______Yes               ­­­­­­­____No