Office of Student Life
Haverhill: SC215 Lawrence: L134
978-556-3731
studentlife@necc.mass.edu
Student Club/Organization Interest Petition
Office of Student Life
Haverhill: SC215
Lawrence: L134
978-556-3731
studentlife@necc.mass.edu
Proposed Club/Organization Name:
Student Contact Name: _________________________________________________________
Student Contact Email: _________________________________________________________
Please find 10 students who are interested in joining your proposed organization.
First & Last Name NECC ID Signature
1.
2. _
_
_
_
3.
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8.
9.
10.