Membership Application Name Date Address Telephone Number Email How did you hear about Omega Theta Pi Social Service Fellowship? Personal Statement: Tell us about yourself! Why are you interested in becoming a member of Omega Theta Pi Social Service Fellowship? Employment Status Full Time Part Time Per Diem Self Employed Not Working Place of Employment Title Work Email List Your References (up to 3) Submit Please Complete the Following: Criminal Background CheckChild Abuse Clearance Please Note: Please upload the following documents with applicationPicture ID Three Letters of RecommendationCriminal Background Check (valid within the year)Child Abuse Background Check (valid within the year)Application fee: $150.00