Gift & Honorary Membership Form
To be sent to KDP Headquarters within two weeks of the initiation.
Chapters can gift membership to anyone they would like. We have regulations for how they are submitted to Headquarters, though, so read them carefully!
According to KDP Bylaws, the qualifications and limitations for Honorary Membership are:
• Record of distinguished service in the cause of education.
• Not open to a person eligible for another membership category or one who holds a degree in education.
• No chapter may elect more than two (2) persons to honorary membership during any one Society year.
• A person approved for an honorary membership shall be initiated according to the appropriate ritual.
Gift Memberships are paid for using chapter funds, but the individual(s) being recognized with KDP membership(s) are eligible under one of our existing categories. Please contact your Regional Chapter Coordinator if you have any questions.
INSTRUCTIONS: Complete this form and send it to KDP Headquarters within two weeks of the chapter’s initiation.
Gift Membership
· New KDP Members = $47 + $1 new member fee
· Renewing KDP Members = $47
Honorary Membership = $55 per member
This can be paid via check made out to Kappa Delta Pi or you may pay with a credit card.
Honorary Membership #1
Name: Birthdate (MM/DD/YYYY):
Street Address: City, State, Zip Code:
Email Address: Phone Number:
Most recent degree completed: Graduation Date (MM/DD/YYYY):
What type of service has the honorary member given to education?
Honorary Membership #2
Name: Birthdate (MM/DD/YYYY):
Street Address: City, State, Zip Code:
Email Address: Phone Number:
Most recent degree completed: Graduation Date (MM/DD/YYYY):
What type of service has the honorary member given to education?
Gift Membership #1
Name: Birthdate (MM/DD/YYYY):
Street Address: City, State, Zip Code:
Email Address: Phone Number:
Most recent degree completed: Graduation Date (MM/DD/YYYY):
Major/Position currently held:
Gift Membership #2
Name: Birthdate (MM/DD/YYYY):
Street Address: City, State, Zip Code:
Email Address: Phone Number:
Most recent degree completed: Graduation Date (MM/DD/YYYY):
Major/Position currently held:
Gift Membership #3
Name: Birthdate (MM/DD/YYYY):
Street Address: City, State, Zip Code:
Email Address: Phone Number:
Most recent degree completed: Graduation Date (MM/DD/YYYY):
Major/Position currently held:
Gift Membership #4
Name: Birthdate (MM/DD/YYYY):
Street Address: City, State, Zip Code:
Email Address: Phone Number:
Most recent degree completed: Graduation Date (MM/DD/YYYY):
Major/Position currently held:
(If you have more than 4 gift memberships, please download an additional copy of this form
to use when sending us their information.)
AMOUNT OWED: Gift Memberships = @ $47 each (+$1 for new member) = $
Honorary Memberships = @ $55 each: $
TOTAL AMOUNT DUE: $
PAYMENT: I am enclosing a check payable to Kappa Delta Pi for the total amount due above.
Please charge my credit card for the amount due to Kappa Delta Pi.
*your credit card will be charged $55 per honorary member
Visa MasterCard Discover American Express
Account Number:
Expiration Date:
Name on Card:
SEND TO: Kappa Delta Pi
3707 Woodview Trace
Indianapolis, IN 46268