Membership Application

Mu Alpha Theta, the National High School

& Two-Year College Mathematics Honor Society

Print your name the way it should appear on your certificate:

______________________________________________________________________

Phone: _____________________ Email: ______________________________

Year of Graduation: _______________

Current Extracurricular Activities:

Current math course: ___________________________________

Teacher:
Current GPA:

Unless you are a senior, list the math class you will take next year:
_____________________________

List each of your math courses completed from Algebra 1 and up and with the mid-semester
and final grade earned:
__________________________________________________________

To be eligible for membership you must . . .

 3.0 GPA in Mathematics

If you are inducted, you will be asked to fulfill the following membership requirements to stay
active:

• Attend monthly meetings

• Be enrolled in a math class all four years of high school
• Actively participate in one or more of the following
o Math Competitions
o Math Tutoring at school or online
o Other Math/Scholastic Activity that has been approved by advisor

Student Signature_____________________________ Date______________

The following math teacher recognizes your excellence in math and supports your application
for induction into Mu Alpha Theta.

Math Teacher Signature__________________________ Date_____________

Please attach a copy your complete high school academic history. Make sure
final grades are visible.

Due by: September 30th Turn into: Mrs Cruz (Room 4309) NO EXCEPTIONS

If you are accepted for membership, you will be notified by: October 3rd