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Organization Membership Registration Form

Organization Registration Form
Organization Name
President's First Name
President's Last Name
President's Email
President Student ID Number:
 

Secondary Contact First Name:
Secondary Contact Last Name
Secondary Contact Email
Secondary Contact Student ID Number
 

Chapter Advisor
Chapter Advisor Email
Chapter Advisor Phone
Next election date
RadDatePicker
Open the calendar popup.
 
Number of Members
Meeting Day
Meeting Fequency
Meeting Time 
Meeting Location
 

Type of Organization
Is your organization affiliated with a National Organization?

If Yes, please give the organization's address, website, contact name and email address in the box.:
 
 
Please attach your roster that is saved on your computer or flash drive by selecting browse  . Once you hit save and continue the roster and information in the template will be submitted to Student Life.

Once you have completed that template, upload it below.

Attach roster here: