Sigma Theta Tau International
550 W. North Street
Indianapolis, IN 46202
ATTN: Member Services Department
I am requesting
transfer to ________________________________ Chapter at
_________________________ School of Nursing.
I am currently
a member of ________________________________ Chapter, number _________
.
I was inducted
as a Sigma Theta Tau Member in __________ year at ________________________
chapter. My name at the induction was ___________________________________________.
Name : _________________________________________________________
Address : _______________________________________________________
_______________________________________________________
Home Phone : ____________________________________________________
Work Phone : ____________________________________________________
Date : __________________________________________________________
|