Sigma Theta Tau International

TRANSFER REQUEST FORM


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 :  __________________________________________________________
 

 
  1. Please include $5.00 for the processing fee.  The processing fee will cover the costs involved in updating computer records and mailing transfer notifications to both chapters and to you.
  2. If you have a copy of Image: Journal of Nursing Scholarship or Reflections, please list the numbers that appear above your name on the label.
  3. Transfer notices are mailed to the Members and Chapter Secretaries in September, November, and March.  A notification card of transfer can be sent on other dates if requested.
  4. All members are transferred within one week of the receipt of the request at Headquarters.
(Please photocopy for distribution)