Phi Kappa Phi Judicial Release Form

My signature on this application for membership hereby authorizes members of the executive board of Phi Kappa Phi or their designee(s) to review my judicial records each semester. Further, I authorize the Director of Judicial Affairs or designee(s) to respond to questions or inquiries by members of the executive board of Phi Kappa Phi or their designee(s) pertaining to such records. I understand that this information is being obtained solely for the purpose of determining my eligibility for induction and continuing membership in Phi Kappa Phi.