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

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

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

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

required
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: