National Honor Society Chapter Application

To form a chapter an institution must offer a master’s and/or doctorate of liberal studies degree, hold regional accreditation, and be an institutional member of the AGLSP.

Institution Information

College / University Name*

President's Name*

Prefix

First Name

Last Name

Program Name*

Program Website*

Program Mailing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Country

Program Phone Number*

Program Director, Dean, Administrator or Coordinator

Name*

Prefix

First Name

Last Name

Title*

Email*

Graduate Liberal Studies Degrees Offered

Include total number of students graduated per year in each of the degree or certificate programs you offer. Leave blank those program not offered.

Master of Arts in Liberal Studies (MALS)

Master of Liberal Studies (MLS)

Master of Liberal Arts (MLA)

Master of Interdisciplinary Studies (MIS)

Master of Arts in Interdisciplinary Studies (MAIS)

Master of Humanities (MH)

Doctor of Liberal Studies (DLS)

Doctor of Liberal Arts (DLA)

Certificate of Advanced Graduate Liberal Studies

Other - Please explain and include number of students graduated per year.

Total number of students currently enrolled in your program:*

Statement of Application

The above mentioned program herewith applies for a chapter in the AGLSP National Honor Society. *

Your typed name serves as your signature in the box above.