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Carson
College of
Business
WASHINGTON
STATE
UNIVERSI1Y
•
FORM B | Club/Organization Participation
Student Name:
Student ID #:
WSU Email:
Which Badge would you like this form to satisfy?
Club/Organization Title:
This form serves to confirm that the Carson College of Business student listed above
attended at least 3 of the above mentioned club/organization meetings within 1
semester. A staff/faculty advisor or supervisor signature is required for this form to
be considered valid. Valid submission of this form will help the Carson College of
Business student complete required components of the Carson Career Amplifier
Program.
__________________________________________ _________________ Student Signature: Da
te:
Staff/Faculty Advisor or
S
upervisor Name & Title: ___________________________________________________________
___________________________________________________
______________________________________ _____________
____
Staff
/Faculty Advisor or
Supervisor Contact Information:
Staff/Faculty Advisor or
Su
pervisor Signature: Date:
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signature
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click to sign
signature
click to edit
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