Kappa Kappa Psi
Northeast District Personal Academic
Achievement Award
(NEDPAAA) Application
Instructions: Submit
this completed application along with a copy of your transcripts or grade
reports to both District Governors by February
28th, 2008.
Name: ______________________________________________________________
Address: ____________________________________________________________
____________________________________________________________
(City) (State) (Zip code)
Phone: _____________________________________
E-mail:_____________________________________
Chapter: ____________________________________
School: _____________________________________
Major: ______________________________________
GPA: ________
________________________ ______________________ _______________________
Applicant’s Signature Chapter President’s Chapter Sponsor’s
Signature Signature
Return a completed copy of this form and either your transcripts or
grade reports to:
Northeast District Governor Northeast District Governor
Marie Burleigh Dr. Hubert Toney- Clarion University
1807 N. 23rd St. 207 Marwick-Boyd Fine Arts Center
Clarksburg, WV 26301 Clarion, PA
16214