Clubs and Organization Registration

(*) denotes required information.

* Name of Organization:

* Organizational Email (or contact email):

* Advisor's Name:

* Advisor's Department:

* Advisor's Email:

* Advisor's Campus Box:

* Advisor's Phone:


Officer Information (Please include all leadership positions within the club or organization. If there are more positions than space provided, please submit information in the field labeled "More Information.")

*Chief Officer #1 Information
First Name:

* Last Name:

* Title:

* Student ID:


*Chief Officer #2 Information
First Name:

* Last Name:

* Title:

* Student ID:


Chief Officer #3 Information
First Name:

Last Name:

Title:

Student ID:


Chief Officer #4 Information
First Name:

Last Name:

Title:

Student ID:


More Information:

* Statement of Purpose:

* Check Appropriate Response:
I certify that our constitution and bylaws have NOT changed
Our constitution and/or bylaws HAVE changed. (Please submit copy to the Clubs Liaison.)


* Electronic Signature:
I certify that the above information is accurate and I acknowledge my responsibility to keep this record correct by informing the Office of Student Activities and First-Year Programs of any changes in information and/or in our constitution and by-laws. (Checking this button serves as your electronic signature.)