2012 Phi Alpha Delta Pre-Law Application
For members not joining on-line, the Chapter Secretary shall require each applicant for membership to complete
this application. The Secretary shall forward this original application to the Executive Office by the end of the
month in which it is received. The Secretary should make a copy of the application for the chapter records.
1.
PRE-LAW
MEMBERSHIP
Name ___________________________________________________________________________
Male
Female
Maiden Name _______________________________________________ Birthdate (mm/dd/yyyy) _______________
2.
Current Address __________________________________________________________________________________
City/State/Zip ___________________________________________________________________________________
Application for Pre-Law Membership
Current Phone Number ________________________ E-mail _____________________________________________
2012
Permanent E-mail ________________________________________________________________________________
3.
School Currently Attending _____________________________________________
4.
Law schools you are interested in attending: ____________________________________________________________
5.
Have you been explicitly informed of your financial obligations as a member of this Fraternity?
Yes
6.
Do you agree to pay the International Initiation fee of $100.00 before you are initiated?
Yes
7.
I have read, understand and agree to abide by Phi Alpha Delta Law Fraternity, International’s policy
on drugs and alcohol (as found online at www.pad.org).
Yes
No
I am aware that Phi Alpha Delta Law Fraternity, International, of which its Pre-Law Program is a
part, is a professional law fraternity and not a Greek organization. I am aware that membership
in the P.A.D. Pre-Law Program is open to all students in good standing enrolled in a college or
university where a P.A.D. Pre-Law Chapter is chartered and active, and that no pledge process is allowed.
I hereby affirm by the submission of this application that I have not participated, and will not, in any
activities that are or could be construed to be hazing.
Yes
No
I have read, understand and agree to abide by Phi Alpha Delta Law Fraternity, International’s
policy on anti-hazing (as found online at www.pad.org).
Yes
No
8.
9.
Payment M
ethod:
Method:
Check
Money Order
Credit Card
MasterCard
Visa
Discover
Class of (month/yr) _________
No
No
American Express
Credit Card # _______________________________________________________ Exp. Date __________________
Cardholder’s Name _______________________________________________________________________________
Security Code (CVV#) ________________ Billing ZIP Code _____________________________________________
Signature _______________________________________________________________________________________
* No amount exceeding the International Initiation Fee will be charged to a credit card.
* No person may be initiated until the International Initiation Fee has been paid in full.
All returned checks will be charged a $25.00 service fee.
ATTENTION: I understand that upon admission to law school, if I choose to join a P.A.D. Law School Chapter, I will be required to submit a
Law School membership application and initiation fee, minus the applicable Pre-Law Member discount.
I hereby certify that I have read this application in its entirety, and I understand and agree with all information contained therein.
Signature of Applicant: _______________________________________________________________________
To be completed by the Chapter Secretary. The Chapter Secretary should also refer to the P.AD. Portal to see members
who have joined online.
Initiation Date**: ___________________________ Secretary’s Signature: ______________________________
** Failure to include the initiation date WILL delay processing of the applications & shipping of materials.
If no initiation date is provided within 30 days of receipt, members will be assigned Nov. 8 or April 15 as the date.
Phi Alpha Delta Law Fraternity, International
345 N. Charles Street, 3rd Floor, Baltimore, Maryland 21201
(410) 347-3118 • (410) 347-3119 Fax • [email protected] • www.pad.org
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