The National Leadership Honor Society Membership Form

Omicron Delta Kappa was the first college honor society of a national scope to give recognition and honor for meritorious leadership and service in extracurricular activities and to encourage development of general campus citizenship. Through membership in OΔK, you enter the ranks of over 300,000 women and men whose peers recognize them as scholars and leaders.


To be considered for membership, please fill out the following form and submit to your College/University Circle's Circle Coordinator. Please note that this form, fees, and participation in an induction ceremony are all prerequisites for membership in Omicron Delta Kappa.
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This membership application form is only one component of the membership selection process. Please contact your local Circle Officers about deadlines and other possible additional Circle requirements. The national membership fee is $88.00. Individual circles may charge an additional amount or local dues.


Fields with a red asterisk * are required fields.

The information in this application has been selected by the circle to which you are applying. You should consider all items after the Personal Information section as required since the circle has requested those questions be part of their application. Failure to submit any information requested by the circle in the subsequent sections, may lead to denial of the application. Please check with your circle leadership if you have any questions about what is required.



Student ID

Initiation Data

* College/University Name:
NOTE: If you do not see your circle, contact the circle advisors because
the application for your school is not currently active.

Find Your Circle
* Initiation Class: Sophomore
Junior
Senior
Graduate Student
Faculty/Staff     -- Check here if applicant is advisor:  
Alumni
Honoris Causa
* Anticipated Graduation Date (MM/YYYY)

Personal Data

* Salutation: Mr.
Mrs.
Miss
Ms.
Mx.
Dr.
* First Name
Middle Name (complete or initial)
* Last Name
Suffix (Jr., III, etc.)
Maiden or Previous Name:
APPROVAL for MY NAME on the MEMBERSHIP CERTIFICATE:

This is how your name will appear on your certificate. You may change or correct this but it may not exceed 25 characters and may not include nicknames.

Your name as it should appear on the membership certificate:
  By checking this box, I verify that the name above is the name I approve to appear on my Membership Certificate. Any request for changes after the certificate is printed will be charged to me.
Preferred Name:
* Permanent Home Address:
* City
* State
* Zip Code
* Permanent Home Phone:
OΔK requires both a school email and a non-school/permanent email to be able to contact members.
* Cell Phone:
* Personal E-mail address:
* School E-mail address:

Demographic Data

The information gathered in this section with the exception of birthdate is gathered for statistical purposes only. This information is only being used to gather data about individuals applying to be initiated into Omicron Delta Kappa and will not be placed in your permanent OΔK record. Completion of any of the demographic data items is not required; however, it is helpful information to inform future discussions about the Society's diversity, equity, and inclusivity initiatives.

* Birth Date (MM/DD/YYYY):
Do you consider yourself biracial or multiracial? No, Not Biracial or Multiracial
Yes, Biracial
Yes, Multiracial
Are you of Hispanic, Latino, or Spanish origin? Yes, Hispanic or Latino
No, Not Hispanic or Latino
What is your racial identity? American Indian or Alaska Native
Asian or Asian American
Black or African American
White or Caucasian
Not listed
What is your gender identity? Man
Woman
Genderqueer
Transgender
Non-binary
Not listed
What is your sexual orientation? HeteroSexual
Asexual
Bisexual
Demisexual
Gay
Lesbian
Pansexual
Not listed

OΔK Legacy Information

Are you an OΔK Legacy?

A legacy is a member of your family inducted into OΔK at any circle, in any year, even if that circle no longer operates. It is important for our organization to note family membership connections.

Do you have a relative who is a member of OΔK? If yes, list the relative's name including maiden name if applicable:
Name of School Where Your Relative was Initiated:
What year did they graduate? (Approximate year if you are unsure)
Relationship with OΔK relative
Please describe how you are related to the relative (example, mother/father, sibling, etc.):

Academic/Professional Data

*Major:
2nd Major:
* Cum GPA:
* Grading scale:(3.0 or 4.0)

Employment

Are you employed full-time? Yes     No
Current Employment Title:
Current Employer:
Current Employer Address:
Current Employer City, State, Zip:
Current Employer Country:
Current Employment/Business Email:
Current Employment Began (MM/DD/YYYY):

Please list other colleges attended:

Please list the last colleges or universities from which you received degrees, the date (month/year) of the degree, and degree earned (for example: B.A., B.S., M.Ed., Ph.D.).

Name of College/University: Graduation (MM/YYYY): Degrees Earned:
(BA, MA, PhD, etc)
Field:
(History, Engineering, etc)

Pin Selection

* What type of pin would you prefer?
Traditional
1914
Laurel Crowned
Key of Membership

OΔK Pillars

* Please select each of the OΔK Pillars in which you are active: Academics
Athletics
Service
Communications
Art
What is your anticipated graduation month (MM/YYYY)?
Please list your Activities and Leadership Positions for the Academics and Research Pillar
Please list your Activities and Leadership Positions for the Athletics Pillar
Please list your Activities and Leadership Positions for the Service to Campus and Community Pillar
Please list your Activities and Leadership Positions for the Communications Pillar
Please list your Activities and Leadership Positions for the Creative and Performing Arts Pillar
Please list your Significant Honors and/or Achievements
Describe your most significant leadership experience while attending college/university (250 words max)
What do you hope to achieve through your membership in Omicron Delta Kappa? (250 word max.)
What is your personal leadership philosophy? (250 word max)
What is your T-shirt size (XS, S, M, L, XL, 2XL, 3XL)?
Please list in detail your college organization memberships, leadership positions held, as well as awards and honors received. Do not include high school activities. Be certain to indicate the years for each item listed (for example, indicate if you were an RA, CA, or member of an organization during the 2019-2020 academic year and the 2020-2021 academic year).
Please list and describe your Leadership Positions affiliated with on-campus employment/student work program. (limit 250 words)
What is your course schedule this semester? (Please list course numbers/names, professors' names, class meeting days/times, building/room numbers.)
Family & Friend Contact Information. (Please provide the following information for Parent 1, Parent 2, and five on-campus friends; name, phone number, mailing address, and email)
Which of our pillars speak most to you and why? Academics, Athletics, Service, Communications, or Arts. (250 word max.)
What about your personality, skills, beliefs, or characteristics has contributed to your unique leadership style? (250 word max.)
Reflect on a time when you questioned or challenged a belief or idea. What prompted your thinking and what was the result? (250 word max.)
Evaluate a significant experience, achievement, risk, or ethical dilemma and its impact on you. (250 word max.)
Please submit your circle essay here.
Describe how you expect to be engaged in our circle's programs?
* How did you learn about Omicron Delta Kappa National Leadership Honor Society? (Select all that apply): A member of my family is in ODK
I know friends/other students who are in ODK
A student member of ODK recommended me
A faculty/staff member recommended ODK
I received a general invitation to join from my circle
I received an invitation from the ODK National Headquarters
Campus advertisement (e.g., campus newspaper, poster/flyer, electronic display)
Social media (e.g., Facebook, Instagram, Twitter)
Online search (e.g., Google, Bing, Yahoo)
Other

Terms and Conditions
I am applying for membership in Omicron Delta Kappa Society, Inc. through the circle (chapter) at the institution identified in this application. By submitting this form, I authorize the advisors, officers, and members of the specific circle to review and discuss my academic record including my current grades and academic standing, co-curricular and leadership activities, and class standing (sophomore, junior, senior, graduate student, faculty/staff, alumni, or honorary) submitted herein for consideration. I understand that Omicron Delta Kappa requires this authorization because I seek membership in the national organization. I further understand and authorize the advisors of this circle to request proof of my grades and class standing as permitted by the institutional policies where the circle is chartered at the time of this application.

By submitting this form, I also agree to receive communications from Omicron Delta Kappa and its duly authorized personnel. These communications will include, but are not limited to, electronic and printed materials. Please refer to our Privacy Policy http://odk.org/privacy-policy/ for details.