Fillable Chapter Academic Acknowledgement Form

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Chapter Academic Acknowledgement Form

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Chapter
Statement of Academic Acknowledgement
Fresno State Alumni Association • www.fresnostatealumni.com • PHONE: 559.278.ALUM • FAX: 559.278.6790
The Statement of Academic Acknowledgement must be signed for all Chapters to be formally
recognized by the Fresno State Alumni Association (Clubs are exempt from this requirement).
This form must be signed by the Dean, Associate Dean, or their designee, of the college under which
the Chapter’s major is issued.
Chapter Name:
____________________________________________________________
The efforts of this Fresno State Alumni Association constituency group are officially recognized, as they
seek to further the interests of California State University, Fresno.
Print name:
_________________________________________
Title:
_________________________________________
College/School:
_________________________________________
Department:
_________________________________________
Signature:
_________________________________________
Date:
_________________________________________
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Chapter Academic Acknowledgement Form

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Completed 2 May 2020

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