Fillable Northern Essex Community College Student Engagement Center Haverhill (Northern Essex Community College)

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Northern Essex Community College Student Engagement Center Haverhill (Northern Essex Community College)

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Northern Essex Community College
Student Engagement Center
Haverhill · Lawrence
Club/Organization Registration Form
Please list your current officers and advisors and submit to the Student Engagement
Center on the Haverhill campus in the Sport & Fitness Center D-119 or on the Lawrence
campus in Room L133, by the Fourth Week of each Semester. If changes occur
during the semester, please contact Student Engagement Center and resubmit form.
Organization Name Semester/Year
Advisor Name
Telephone Email
Advisor's Department
Meeting day
Time Location
Officers:
President Telephone Email
*
Address
Vice President
Telephone Email
*
Address
Secretary
Telephone Email
*
Address
Treasurer
Telephone Email
*
Address
Other
Telephone Email
*
Address
Please initial space if you authorize the Student Engagement Center to give out your telephone
number to students interested in information about your Club or Organization.
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Northern Essex Community College Student Engagement Center Haverhill (Northern Essex Community College)

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Completed 17 September 2020

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