STUDENT ORGANIZATION REGISTRATION, PART I
201
9– 2020
STUDENT ORGANIZATION INFORMATION
Organization Name
NEW CLUB
RE
-REGISTERING (annually)
UPDATE OFFICERS INFO (as needed)
Advisor’s Name
Advisor’s Office Location
Advisor’s Phone
( )
Co-Advisor’s Name
Co-Advisor’s Office Location
Co- Advisor’s Phone
( )
Advisor’s Email
Co-Advisor’s Email
Mission Statement/Purpose of the Organization:
Meeting Day:
Meeting Location:
OFFICER/PRINCIPLE MEMBER INFORMATION
(All sections must be completed and legible)
1. President / Chair
Phone
( )
Student ID No.
Address, City, State, Zip
Email
2. Vice-President/ Co-Chair
Phone
( )
Student ID No.
Address, City, State, Zip
Email
3. Secretary
Phone
( )
Student ID No.
Address, City, State, Zip
Email
4. Treasurer
Phone
( )
Student ID No.
Address, City, State, Zip
Email
5. ICC Representative
Phone
( )
Student ID No.
Address, City, State, Zip
Email
Please Remember:
Two of the above listed officers/principal members must complete a registration session.
All of the above listed officers/principal members must sign Part II of this packet.
FOR OFFICE USE ONLY
Received _____ Registration Session Completed By:
Forwarded to ASGC _____ Approval _____ Denial _____ Forwarded to Student Activities _____ Notification _____
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